DEIDRA BLANKS M.D. NPI 1619170529

NPI Information

  • NPI: 1619170529
  • Provider Name: DEIDRA BLANKS, M.D.
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1839 QUIET CV
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 323-1463

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NPI Details

Deidra Blanks, M.D. is an otolaryngology/facial plastic surgery otolaryngology in Fayetteville, NC with 22 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. Deidra Blanks, M.D. NPI is 1619170529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:2004

The provider's business location address is:

1839 QUIET CV
FAYETTEVILLE, NC
ZIP 28304-857
Phone: (910) 323-1463
Fax: (910) 323-1575

The NPI 1619170529 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.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Test to assess middle ear function (HCPCS:92567)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Removal of impacted ear wax (HCPCS:69210)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/7/2007 and was last updated on 6/11/2021.

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
1207YX0901XOtolaryngologyOtology & Neurotology2006-00621NORTH CAROLINANo
2207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery2006-00621NORTH CAROLINAYes
3207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery2011003947MISSOURINo

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
11619170529MEDICAIDNORTH CAROLINA

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: 11/21/2025

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