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TERESA BLASKOVICH
NPI 1932510104
Pediatrics in Phoenix, AZ

Active since May 09, 2014PECOS Enrolled
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 345-5885 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Teresa Blaskovich NPPES

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

TERESA BLASKOVICH (NPI 1932510104) is an individual pediatrics provider in Phoenix, Arizona, licensed in Montana (58149) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932510104
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTERESA BLASKOVICH
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2601 E Roosevelt StPhoenix, AZ 85008-4973 · (602) 345-5885
Phone(602) 345-5885
Sole ProprietorNo
Enumeration DateMay 9, 2014
Last NPPES UpdateOctober 23, 2017
✔ NPI 1932510104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MT · 58149
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2601 E ROOSEVELT ST, Phoenix, AZ 85008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Blaskovich 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 Reassignment

Medicare enrollment records show Teresa Blaskovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Billings Cinic
774 mi
Family Medicine
236 YELLOWSTONE AVE
West Yellowstone, MT 59758
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
NPI 1710600119 (406) 238-2500

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 85008 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. JOEL PHILIP BETZ M.D.
Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
DR. ALI SHAHEEN AL-YAQOOBI M.D.
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5411
MARICOPA INTEGRATED HEALTH SYSTEM
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Maricopa County (602) 344-5366
OWEN THOMAS MCCABE MD
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
BRIGHAM NICOLL
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
DR. AMELIA CATHERINE VAN HANDEL M.D.
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (410) 999-0858
KEVIN YANG
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5011
STEPHANIE BERKSHIRE DO
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Maricopa County (602) 344-5892

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 Teresa Blaskovich's NPI number?

The NPI number for Teresa Blaskovich is 1932510104. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Teresa Blaskovich located?

Teresa Blaskovich practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 345-5885.

What is Teresa Blaskovich's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Teresa Blaskovich enrolled in Medicare?

Yes. Teresa Blaskovich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Blaskovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Blaskovich reassigns Medicare benefits to Billings Cinic (West Yellowstone, MT). The 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 Teresa Blaskovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Blaskovich accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Teresa Blaskovich 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 Teresa Blaskovich was last updated on October 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.