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DR. RUPERTO DIVINO BLANCO JR. MD
NPI 1790736643
Family Medicine in Wyoming, MI

Active since May 15, 2006PECOS Enrolled
5838 METRO WAY SW, WYOMING, MI 49519(616) 249-5300(616) 249-5410 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ruperto Divino Blanco Jr. Md NPPES

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

DR. RUPERTO DIVINO BLANCO JR. MD (NPI 1790736643) is an individual family medicine provider in Wyoming, Michigan, licensed in Michigan (4301076807) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Comstock Park.

NPPES Registry Identity

NPI1790736643
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RUPERTO DIVINO BLANCO JR.Credential: MD
Location Address5838 METRO WAY SWWyoming, MI 49519-9619
Mailing Address5838 Metro Way SwWyoming, MI 49519-9619 · (616) 249-5300 · Fax (616) 249-5410
Phone(616) 249-5300
Fax(616) 249-5410
Sole ProprietorNo
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1790736643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301076807
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.
5838 METRO WAY SW, Wyoming, MI 49519
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Secondary Practice Location 1

Location 14038 Alpine Ave NWComstock Park, MI 49321 · Phone (616) 827-2020 · Fax (616) 827-2052

Other Identifiers 5

Medicaid4619756MI
Other0P441950001MI · Medicare Type 1
Medicaid4877705MI
Medicaid4878220MI
Medicaid4619765MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruperto Divino Blanco Jr. Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

STEVEN F CHALLA DPM
Podiatrist
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300
JEAN MARIE DEISS-SAVAGE AU.D.
Audiologist
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300
HEATHER BARKER
Psychologist (Clinical)
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300
DR. NATALIE MARIE HOGUE PH.D., M.S.A.
Psychologist (Clinical)
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300
CONNIE POSIGIAN PT
Physical Therapist
5838 METRO WAY SW, PHYSICAL THERAPY DEPT
WYOMING, MI 49519
Kent County (616) 249-5300
MEREDITH ANNE HEINLEIN DNP
Nurse Practitioner (Gerontology)
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300
DANIEL SCHOEN PA-C
Physician Assistant (Medical)
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 624-9530
LISA MARIE WAMSLEY FNP
Nurse Practitioner
5838 METRO WAY SW
WYOMING, MI 49519
Kent County (616) 249-5300

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 Ruperto Blanco's NPI number?

The NPI number for Ruperto Blanco is 1790736643. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Ruperto Blanco located?

Ruperto Blanco practices at 5838 Metro Way SW, Wyoming, MI 49519. The listed phone number is (616) 249-5300.

What is Ruperto Blanco's specialty?

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

Is Ruperto Blanco enrolled in Medicare?

Yes. Ruperto Blanco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruperto Blanco was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.