DAVID A BLANCO MD
NPI 1619198769
Pediatrics - Pediatric Gastroenterology in Center Valley, PA
About David A Blanco Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID A BLANCO MD (NPI 1619198769) is an individual pediatric gastroenterology provider in Center Valley, Pennsylvania, licensed in Texas (W2403) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David A Blanco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show David Blanco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Center Valley, PA 18034
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Birdsboro, PA 19508
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Houston, TX 77065
- Reassigned Medicare billing, Texas enrollment
- 964 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTER VALLEY, PA 18034
CENTER VALLEY, PA 18034
CENTER VALLEY, PA 18034
CENTER VALLEY, PA 18034
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Blanco's NPI number?
The NPI number for David Blanco is 1619198769. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is David Blanco located?
David Blanco practices at 5425 Lanark Rd, Center Valley, PA 18034. The listed phone number is (215) 427-6778.
What is David Blanco's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is David Blanco enrolled in Medicare?
Yes. David Blanco is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Blanco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Blanco reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group Inc. (Center Valley, PA), Tower Health Medical Group (Birdsboro, PA) and Bhs Physicians Network, Inc (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Blanco accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list David Blanco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Blanco was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David A Blanco, MD · NPI 1619198769
Pediatric Gastroenterology physician in Center Valley, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1619198769 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** W2403 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5425 LANARK RD, Center Valley, PA 18034-8697
- **Phone:** (215) 427-6778
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group Inc. (NPI 1093270019, Center Valley, PA); Tower Health Medical Group (NPI 1609291350, Birdsboro, PA); Bhs Physicians Network, Inc (NPI 1548613128, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619198769) · Data from the CMS NPPES public registry.