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DR. MARY ELLEN BLUNTZER MD
NPI 1942388384
Internal Medicine in Dallas, TX

Active since November 02, 2006Opted out of Medicare · through Oct 29, 2027
12810 HILLCREST RD, B-127, DALLAS, TX 75230(972) 490-7800(972) 490-7810 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Ellen Bluntzer Md NPPES

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

DR. MARY ELLEN BLUNTZER MD (NPI 1942388384) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (G4838) and active in the NPI registry since November 2006. She has opted out of Medicare through October 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942388384
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY ELLEN BLUNTZERCredential: MD
Location Address12810 HILLCREST RD, B-127Dallas, TX 75230
Mailing Address12810 Hillcrest Rd, B-127Dallas, TX 75230 · (972) 490-7800 · Fax (972) 490-7810
Phone(972) 490-7800
Fax(972) 490-7810
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942388384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · G4838
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12810 HILLCREST RD, Dallas, TX 75230
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB21338
Medicare ID-Type Unspecified0050AV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Ellen Bluntzer Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2015 through October 29, 2027.

Opt-Out Effective DateOctober 29, 2015
Opt-Out In Effect ThroughOctober 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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. JEFFREY CRAIG SIEGEL PH.D.
Psychologist (Clinical)
12810 HILLCREST RD, STE. 217
DALLAS, TX 75230
Dallas County (972) 960-1472
MS. ASHLEY MICHELLE WILLIAMS PT
Physical Therapist
12810 HILLCREST RD, SUITE B100
DALLAS, TX 75230
Dallas County (972) 404-1718
ANNA BETH MORGAN OTR
Occupational Therapist (Pediatrics)
12810 HILLCREST RD, SUITE B-100
DALLAS, TX 75230
Dallas County (972) 404-1718
DR. MICHAEL C GOTTLIEB PH.D.
Psychologist (Clinical)
12810 HILLCREST RD, B224
DALLAS, TX 75230
Dallas County (972) 661-0746
JULIE NEEL OTR
Occupational Therapist (Pediatrics)
12810 HILLCREST RD, SUITEB-100
DALLAS, TX 75230
Dallas County (972) 404-1718
DR. JEFFREY GLASS M.D.
Psychiatry & Neurology (Psychiatry)
12810 HILLCREST RD, SUITE B220
DALLAS, TX 75230
Dallas County (214) 696-9270
SHELBI LYNN ROBERSON PT, DPT
Physical Therapist
12810 HILLCREST RD
DALLAS, TX 75230
Dallas County (972) 404-1718
DR. NORMA MELAMED
Psychiatry & Neurology (Neurology)
12810 HILLCREST RD, SUITE B220
DALLAS, TX 75230
Dallas County (972) 991-8466

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 Mary Bluntzer's NPI number?

The NPI number for Mary Bluntzer is 1942388384. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mary Bluntzer located?

Mary Bluntzer practices at 12810 Hillcrest Rd B-127, Dallas, TX 75230. The listed phone number is (972) 490-7800.

What is Mary Bluntzer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Bluntzer enrolled in Medicare?

No. Mary Bluntzer has opted out of Medicare through October 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Bluntzer was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.