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Dr. Eric Blake , MD

Pediatrics β€’ Ann Arbor, MI

Active NPI 1457926784 Individual Practitioner Male Practitioner
Practice location in NPPES

400 E Eisenhower Pkwy
Ann Arbor, MI 481083302

Call 7345395080 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 E Eisenhower Pkwy

Ann Arbor, MI 481083302

Telephone 7345395080
Organization at the Same NPPES Address or Phone
Regents Of The University Of Michigan Facility NPI 1770508350

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saline, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Blake has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Blake as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ann Arbor and Michigan

170 active clinicians are listed under Pediatrics with a practice address in Ann Arbor, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ann Arbor

0% of these 170 clinicians have the CMS telehealth indicator.

17.6% of these 170 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 4301511256

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES MI 4351047513

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240912003513

Enrollment State Jurisdiction

MI

PECOS Control ID

3971904418

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

700 Woodland Dr

Saline, MI 481761620

Phone: 7344292302

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Janee Koc , NP

Nurse Practitioner

NPI 1740582204

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 27, 2024

Registered at 400 E EISENHOWER PKWY, ANN ARBOR, MI 481083302 (Tel: 7345395080)

πŸ“
Updated Business Mailing Address August 27, 2024

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

πŸ‘€
Provider Name / Credentials Updated August 27, 2024

Recorded as ERIC BLAKE, MD

βœ…
NPI Profile Active May 20, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2021

Registered at 700 WOODLAND DR, SALINE, MI 481761620 (Tel: 7344292302)

πŸ“
Business Mailing Address (Initial Record) May 20, 2021

Registered at 1522 SIMPSON DR MPB D3230, ANN ARBOR, MI 48109

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2021

Recorded as ERIC BLAKE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: MI 4351047513)

🟒
Initial NPI Registration & Enumeration May 20, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457926784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2021
Last Update: August 27, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Ann Arbor

All Pediatrics Specialists in Ann Arbor

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.