JEFFREY M. BLAKE MD – NPI #1477545127
Obstetrics & Gynecology

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

JEFFREY BLAKE is a physician located in NOBLESVILLE, IN. NPPES has assigned the NPI number 1477545127 to JEFFREY BLAKE on August 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was last updated on Nov 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY BLAKE below.

NPI Profile for
JEFFREY M. BLAKE

NPI Number
1477545127
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY M. BLAKE
Credentials
MD
Primary location
14540 PRAIRIE LAKES BLVD N STE 110
NOBLESVILLE, IN 46060-4370
Phone: (317) 982-5222 Fax: (317) 982-5223
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Nov 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFREY BLAKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIN100172960
medicaidIN300085297
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VF0040X
- Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary)
IN 01040057A
207VG0400X
- Obstetrics & Gynecology / Gynecology
IN 01040057A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
141 W 22ND ST STE 309,
ANDERSON, IN 77025-1669

Additional Information

Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE - Graduated 1988
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.