JUSTIN BLATY MD NPI 1548766835

NPI Information

  • NPI: 1548766835
  • Provider Name: JUSTIN BLATY, MD
  • Classification: Pediatrics - 2080S0012X
  • Specialization: Sleep Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1075 N CURTIS RD STE 201
    BOISE, ID
    ZIP 83706
  • Phone: (208) 302-3300

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NPI Details

Justin Blaty, MD is a sleep medicine pediatrics in Boise, ID with 7 years of experience. The provider is a Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. Justin Blaty, MD NPI is 1548766835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2018

The provider's business location address is:

1075 N CURTIS RD STE 201
BOISE, ID
ZIP 83706-350
Phone: (208) 302-3300
Fax: (208) 302-3355

The NPI 1548766835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 4/4/2018 and was last updated on 5/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080S0012XPediatricsSleep Medicine77233WISCONSINNo
22080S0012XPediatricsSleep MedicineMD61145727WASHINGTONNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42080S0012XPediatricsSleep MedicineM-17623IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11548766835MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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