JASON LEE BLACKHAM, M.D. — NPI 1821293242 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in PULLMAN, WA)

CMS-1500 Box 24J / 33a • NPI

1821293242

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RS0010X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

825 SE BISHOP BLVD STE 120, PULLMAN, WA, 99163-5517

✓ 9-Digit EDI 837 ZIP+4 (99163-5517)

Practice Phone & Referral Fax

(509) 332-2828

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1821293242 (JASON LEE BLACKHAM, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1821293242` (NPI-1 Individual Practitioner)
Provider / Legal Name	JASON LEE BLACKHAM, M.D.
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RS0010X` (Internal Medicine, Sports Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	825 SE BISHOP BLVD STE 120, PULLMAN, WA, 99163-5517
Practice Telephone / Fax	Tel: (509) 332-2828
Administrative Mailing Address	825 SE BISHOP BLVD STE 120, PULLMAN, WA, 99163-5517
Enumeration & Last Sync	Enumerated: 2007-06-16 \| CMS Record Updated: 2026-07-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

825 SE BISHOP BLVD STE 120, PULLMAN, WA, 99163-5517

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Plain-English Taxonomy & CMS Crosswalk (207RS0010X)

What Does Taxonomy Code 207RS0010X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RS0010X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 23 (Physician/Sports Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JASON LEE BLACKHAM, M.D.)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RS0010X` — Internal Medicine, Sports Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: WA \| License: `MD.MD.70131894` \| Primary: Yes (Primary)
`207RS0010X` — Internal Medicine, Sports Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: ID \| License: `2981404` \| Primary: Secondary

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JASON LEE BLACKHAM, M.D. (NPI #1821293242)