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THEDDY RICHARD BLANC
NPI 1881155497
Emergency Medicine in Las Vegas, NV

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
3100 N TENAYA WAY, LAS VEGAS, NV 89128(702) 962-9551 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theddy Richard Blanc NPPES

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

THEDDY RICHARD BLANC (NPI 1881155497) is an individual emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3087) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Nova Southeastern College Of Osteo Medicine (2019).

NPPES Registry Identity

NPI1881155497
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEDDY RICHARD BLANC
Location Address3100 N TENAYA WAYLas Vegas, NV 89128-0436
Mailing Address3100 N Tenaya WayLas Vegas, NV 89128-0436
Phone(702) 962-9551
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1881155497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NV · DO3087
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License DO3087 (NV)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3100 N TENAYA WAY, Las Vegas, NV 89128
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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

Theddy Richard Blanc 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 ID8022349034
PECOS Enrollment IDI20220808002205
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 Theddy Blanc reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fremont Emergency Services Scherr Ltd
0.2 mi
Emergency Medicine
3100 N TENAYA WAY
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 304 clinicians in this Medicare group
NPI 1366429821 (702) 255-5025
Signify Health Medical Associates, PLLC
1,072 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Nevada enrollment
  • 206 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
285 services275 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
148 services143 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
60 services52 patients

Hospital Affiliations CMS Care Compare

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

DANIELLE CHRISTINE-ARCEO EVANS MD
Emergency Medicine
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 677-8735
JODY TORI ORTALEZA CABRERA DO
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 482-6214
SOFIA TSELIKIS MD LTD
Hospitalist
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 453-3799
AMIR KILANI DO
Radiology (Diagnostic Radiology)
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-5000
SUNRISE MOUNTAINVIEW HOSPITAL, INC.
General Acute Care Hospital
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 255-5000
TROY HENRIQUES CLEMONS
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9563
VINCENT LAU D.O.
Anesthesiology
3100 N TENAYA WAY, GRADUATE MEDICAL EDUCATION LAS VEGAS
LAS VEGAS, NV 89128
Clark County (408) 887-9697
MASUMI PADHYE MD
Student in an Organized Health Care Education/Training Program
3100 N TENAYA WAY
LAS VEGAS, NV 89128
Clark County (702) 962-9552

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 Theddy Blanc's NPI number?

The NPI number for Theddy Blanc is 1881155497. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Theddy Blanc located?

Theddy Blanc practices at 3100 N Tenaya Way, Las Vegas, NV 89128. The listed phone number is (702) 962-9551.

What is Theddy Blanc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theddy Blanc enrolled in Medicare?

Yes. Theddy Blanc 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 Theddy Blanc's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theddy Blanc reassigns Medicare benefits to 2 organizations: Fremont Emergency Services Scherr Ltd (Las Vegas, NV) and Signify Health Medical Associates, PLLC (Dallas, 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 Theddy Blanc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theddy Blanc affiliated with any hospitals?

According to CMS data, Theddy Blanc is affiliated with Sunrise Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Theddy Blanc was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.