ROBERTA E BLANDON M.D. NPI 1669450011

NPI Information

  • NPI: 1669450011
  • Provider Name: ROBERTA E BLANDON, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1875 DEMPSTER ST STE 665
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 825-1590

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NPI Details

Roberta E Blandon, M.D. is an urogynecology and reconstructive pelvic surgery in Park Ridge, IL with 30 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Roberta E Blandon, M.D. NPI is 1669450011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 DEMPSTER ST STE 665
PARK RIDGE, IL
ZIP 60068
Phone: (847) 825-1590
Fax: (847) 825-1604

The NPI 1669450011 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, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Dilation of urethra using an endoscope (HCPCS:52281)

The enumeration date for this NPI number is 1/5/2006 and was last updated on 8/9/2018.

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
1207V00000XObstetrics & Gynecology2001015985MISSOURINo
2207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery2001015985MISSOURINo
3207VG0400XObstetrics & GynecologyGynecology036147113ILLINOISNo
4207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery036147113ILLINOISYes

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
1036147113MEDICAIDILLINOIS
22001015985MEDICAIDMISSOURI
3L6224MEDICAIDTEXAS

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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