Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter E Blackstone, DO

Individual provider Internal Medicine Physician · NPI 1053391854

Dr. Peter E Blackstone, DO is an Internal Medicine in Paoli, Pennsylvania. Qualified in 2000, 26 years ago. Practices with H2 Rehabilitation Extension Services LLC, a 142-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

255 W Lancaster Ave Mob 2 Ste 120
Paoli, PA 19301
Phone: (610) 644-9456
Fax: (610) 644-5203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OS012002 (PA)

Record details

NPI number1053391854
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 18, 2006
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address255 W Lancaster Avenue, Medical Office Building 2, Suite 120, Paoli, PA 19301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice H2 Rehabilitation Extension Services Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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