DEMETRI BLANAS MD
NPI 1619316825
Family Medicine in Zuni, NM

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
ROUTE 301 NORTH 21 B STREET, ZUNI, NM 87327(505) 782-7453 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Demetri Blanas Md NPPES

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

DEMETRI BLANAS MD (NPI 1619316825) is an individual family medicine provider in Zuni, New Mexico, licensed in New Mexico (276545-1) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Houlton Regional Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (2013).

NPPES Registry Identity

NPI1619316825
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEMETRI BLANASCredential: MD
Location AddressROUTE 301 NORTH 21 B STREETZuni, NM 87327-0467
Mailing AddressPo Box 467Zuni, NM 87327-0467 · (505) 782-7453
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2013
Enumeration DateJune 20, 2013
Last NPPES UpdateMarch 23, 2017
✔ NPI 1619316825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 276545-1
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
ROUTE 301 NORTH 21 B STREET, Zuni, NM 87327

Other Identifiers 2

Medicare UPINHSZSS3YPHUNM
Medicaid96055049NM

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Demetri Blanas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810284601
PECOS Enrollment IDI20191018001822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Demetri Blanas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
14 MAINE ST STE 306
Brunswick, ME 04011
  • Reassigned Medicare billing, Maine and Vermont enrollments
  • 170 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
79 LEIGHTON RD
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 3 clinicians in this Medicare group
Critical Access
20 HARTFORD ST
Houlton, ME 04730
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1508823741 (Maine)
  • 169 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houlton Regional Hospital

Critical Access Hospitals · Houlton, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201308
Location20 Hartford StreetHoulton, ME 04730 · Aroostook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
ROUTE 301 NORTH 21 B STREET
ZUNI, NM 87327
Optometrist
ROUTE 301 NORTH 21 B STREET
ZUNI, NM 87327

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 Demetri Blanas's NPI number?

The NPI number for Demetri Blanas is 1619316825. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Demetri Blanas located?

Demetri Blanas practices at Route 301 North 21 B Street, Zuni, NM 87327. The listed phone number is (505) 782-7453.

What is Demetri Blanas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Demetri Blanas enrolled in Medicare?

Yes. Demetri Blanas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Demetri Blanas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetri Blanas reassigns Medicare benefits to 3 organizations: Bluewater Emergency Partners Of Brunswick, LLC (Brunswick, ME), Maine Mobile Health Program, Inc. (Augusta, ME) and Houlton Regional Hospital (Houlton, ME). 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 Demetri Blanas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Demetri Blanas accept?

Health plans from Anthem Blue Cross and Blue Shield list Demetri Blanas 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.

Is Demetri Blanas affiliated with any hospitals?

According to CMS data, Demetri Blanas is affiliated with Houlton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Demetri Blanas was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.