KENNETH D. BLAKE MD – NPI #1174622070
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Health Care Provider Taxonomy Code for Colon & Rectal Surgery

KENNETH BLAKE is a colon & rectal surgeon located in LONE TREE, CO. NPPES has assigned the NPI number 1174622070 to KENNETH BLAKE on September 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was previously updated about 3 years ago on Jun 06, 2023. 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 KENNETH BLAKE below.

NPI Profile for
KENNETH D. BLAKE

NPI Number
1174622070
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH D. BLAKE
Credentials
MD
Primary location
10103 RIDGEGATE PKWY
SUITE 208
LONE TREE, CO 80124-5520
Phone: (303) 535-5350 Fax: (303) 535-5353
Mailing address
8490 E CRESCENT PKWY STE 380
GREENWOOD VILLAGE, CO 80111-2815
Phone: (303) 957-1310 Fax: (303) 761-4252
Sole Proprietor
No
Updated
Certification Date
Jun 06, 2023

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 KENNETH 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
medicaidCO04305876
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
208C00000X
- Colon & Rectal Surgery (Primary)		 CO 41202

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
N
Endpoint Location
10103 RIDGEGATE PKWY,
LONE TREE, CO 77025-1669

Additional Information

Education
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE - Graduated 1986
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
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
Affiliations
KENNETH BLAKE is affiliated with the following medical group(s):
  • HOSPITAL
    • LITTLETON ADVENTIST HOSPITAL, CENTURA HEALTH
      7700 S BROADWAY
      LITTLETON, CO 80122
    • SKY RIDGE MEDICAL CENTER
      10101 RIDGEGATE PKWY
      LONE TREE, CO 80124

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.