DR. BLAZE SEKOVSKI MD NPI 1770532988

NPI Information

NPI: 1770532988
Provider Name: DR. BLAZE SEKOVSKI, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
500 W FORT ST
# 111
BOISE, ID
ZIP 83702
Phone: (208) 422-1325
Get Directions

DR. Blaze Sekovski, MD is a cardiovascular disease internal medicine in Boise, ID. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Blaze Sekovski, MD NPI is 1770532988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 W FORT ST
# 111
BOISE, ID
ZIP 83702-501
Phone: (208) 422-1325
Fax: (208) 422-1319

The NPI 1770532988 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 enumeration date for this NPI number is 5/8/2006 and was last updated on 9/29/2022.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	152495-1	NEW YORK	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	M-16757	IDAHO	Yes

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
1	161000580	OTHER	NEW YORK	EMPIRE
2	01474139	MEDICAID	NEW YORK
3	161000580	OTHER	NEW YORK	NOVA
4	0021748	OTHER	NEW YORK	GHI
5	2105974	OTHER	NEW YORK	IHA
6	00010161801	OTHER	NEW YORK	UNIVERA
7	110084830	OTHER	NEW YORK	RR MEDICARE
8	000505274002	OTHER	NEW YORK	HEALTH NOW
9	161000580	OTHER	NEW YORK	NORTH AMERICAN PREFERRED
10	161000580	OTHER	NEW YORK	AETNA

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: 4/28/2024

NPI Synchronization or Removal

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