# MATTHEW J. BLECHA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518990399
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 1789 | WI | — |
| 2086S0129X | Vascular Surgery Physician | 036109990 | IL | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 10/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001618161 | BCBS OF IL | IL |
| 05 | — | 036109990 | — | IL |
| 01 | — | 790210 | MEDICARE GROUP NUMBER | IL |
| 01 | — | P00407297 | MEDICARE RAILROAD PART B | IL |