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CAROL BLAISDELL M.D.
NPI 1760437545
Pediatrics - Pediatric Pulmonology in Philadelphia, PA

Active since May 23, 2006PECOS Enrolled
160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5085 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol Blaisdell M.d. NPPES

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

CAROL BLAISDELL M.D. (NPI 1760437545) is an individual pediatric pulmonology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482909) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1760437545
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameCAROL BLAISDELLCredential: M.D.
Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011
Mailing AddressPo Box 62063Baltimore, MD 21264-2063 · (410) 706-5181 · Fax (410) 706-5103
Phone(215) 427-5085
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 6, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1760437545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in PA · MD482909✔ Licensed in MD · D4210
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
160 E ERIE AVE, Philadelphia, PA 19134
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Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1544 · Phone (410) 706-5181 · Fax (410) 706-5103

Other Identifiers 1

Medicaid302691400MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol Blaisdell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Carol Blaisdell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stc Pediatrics LLC
0.2 mi
Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1346884574 (215) 427-5000
Johns Hopkins University
70 mi
Ophthalmology
4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1376342774 (410) 000-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

GEOFFREY LIBARNES BAJWA MD
Pediatrics (Neonatal-Perinatal Medicine)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
STC PEDIATRICS LLC
Pediatrics (Pediatric Allergy/Immunology)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5284
JOANNA OVERTON DO
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
MS. NEHA BUTT MBBS
Student in an Organized Health Care Education/Training Program
160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134
Philadelphia County (923) 333-1317
CHRISTOPHER HAINES D.O.
Emergency Medicine
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5369
DR. FRASER HUNTINGTON BROWN M.D.
Radiology (Diagnostic Neuroimaging)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-3725
NORRELL KRISTIN ATKINSON MD
Pediatrics (Child Abuse Pediatrics)
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5000
VICTORIA NICOLE HUDSON CRNP-PC
Nurse Practitioner
160 E ERIE AVE
PHILADELPHIA, PA 19134
Philadelphia County (215) 427-5985

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 Carol Blaisdell's NPI number?

The NPI number for Carol Blaisdell is 1760437545. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Carol Blaisdell located?

Carol Blaisdell practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5085.

What is Carol Blaisdell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Carol Blaisdell enrolled in Medicare?

Yes. Carol Blaisdell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carol Blaisdell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Blaisdell reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Johns Hopkins University (Belcamp, MD). 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 Carol Blaisdell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Blaisdell was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.