Mary Blomberg, MD
NPI 1205813557 · Pediatrics Physician · St Louis Park, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Blomberg, MD is a Pediatrics Physician provider in St Louis Park, MN (NPI 1205813557).
Provider details
- NPI number
- 1205813557
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 41144 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2012-06-27
Frequently asked questions
- What is Mary Blomberg's NPI number?
- Mary Blomberg's National Provider Identifier (NPI) is 1205813557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Blomberg's specialty?
- Mary Blomberg is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Blomberg located?
- Mary Blomberg's practice location on file with NPPES is 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527.
- What is Mary Blomberg's phone number?
- The practice phone number listed in the NPPES registry for Mary Blomberg is (952) 993-3298.
- Does Mary Blomberg accept Medicare?
- Mary Blomberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Blomberg's NPI active?
- Yes — Mary Blomberg's NPI (1205813557) is active in the NPPES registry as of the last update on 2012-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.