DR. TERRA RUPERT BLATNIK MD
NPI 1508066317
Pediatrics - Sports Medicine in Saint Louis, MO

Active since July 19, 2007PECOS Enrolled
4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A, SAINT LOUIS, MO 63110(314) 514-3500(314) 878-7678 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2025, Nov 15, 2021, Nov 12, 2021 and 5 more (8 updates tracked since 2015).

About Dr. Terra Rupert Blatnik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRA RUPERT BLATNIK MD (NPI 1508066317) is an individual sports medicine provider in Saint Louis, Missouri, licensed in Missouri (2015013430) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1508066317
Entity TypeIndividualFemale
Primary Taxonomy2080S0010X
Provider Legal NameDR. TERRA RUPERT BLATNIKCredential: MD
Location Address4921 PARKVIEW PL, DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12ASaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 514-3500 · Fax (314) 878-7678
Fax(314) 878-7678
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 9, 20258 updates tracked since enumeration
NPI 1508066317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License Licensed in MO · 2015013430
Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

4921 PARKVIEW PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200023315MO

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Terra Blatnik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
4921 PARKVIEW PL, STE 12B
SAINT LOUIS, MO 63110
Internal Medicine (Gastroenterology)
4921 PARKVIEW PL, 8TH FLOOR SUITE C
SAINT LOUIS, MO 63110
Internal Medicine
4921 PARKVIEW PL, SUITE 14 E
SAINT LOUIS, MO 63110
Internal Medicine (Hematology & Oncology)
4921 PARKVIEW PL, SUITE 14C
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL, 3RD FLOOR CAM OUTPATIENT PHARMACY
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Pharmacist
4921 PARKVIEW PL
SAINT LOUIS, MO 63110
Ophthalmology
4921 PARKVIEW PL, STE 14F
SAINT LOUIS, MO 63110
Optometrist
4921 PARKVIEW PL, STE 14F
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, STE 6C
SAINT LOUIS, MO 63110
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4921 PARKVIEW PL, STE 5A
SAINT LOUIS, MO 63110
Internal Medicine (Cardiovascular Disease)
4921 PARKVIEW PL, STE 8A
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, STE 6C
SAINT LOUIS, MO 63110
Transplant Surgery
4921 PARKVIEW PL, SUITE 8C
SAINT LOUIS, MO 63110
Nurse Practitioner
4921 PARKVIEW PL, 7TH FLOOR
SAINT LOUIS, MO 63110
Internal Medicine (Nephrology)
4921 PARKVIEW PL, 5TH FLOOR, SUITE C
SAINT LOUIS, MO 63110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508066317, enumerated as an "individual" on July 19, 2007.

The provider is located at 4921 PARKVIEW PL DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A SAINT LOUIS, MO 63110 and the phone number is (314) 514-3500.

Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Cox HealthPlans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.