KENDRICK DAVID BLAIS (D.O.) – Family Medicine Physician, NPI 1497771109

KENDRICK DAVID BLAIS (D.O.) is a healthcare provider. based in Fairbanks, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. AA2242 (AK). The NPI Number for KENDRICK DAVID BLAIS (D.O.) is 1497771109

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
KENDRICK DAVID BLAIS (D.O.)
NPI
1497771109
Phone
(907) 457-9355
Address
1867 AIRPORT WAY STE 140A
Enumeration Date
14 July 2006
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074579355
Graduation Year
1980 (46 years ago)
PAC ID
4880688605
Group Practice PAC ID
8820082746
Professional Enrollment ID
I20101201001410
Address ID
AK997014055FA1867XWAYX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

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Provider Addresses for KENDRICK DAVID BLAIS (D.O.)

  • Airport Way, Fairbanks, Fairbanks North Star, Alaska, 99775, United States

    FAIRBANKS, AK 997014055

    Phone: (907) 457-9355

    Fax: (907) 457-9356

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101201001410IFamily PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10362$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi7944$0
99214Established patient office or other outpatient visit, 30-39 minutes3222$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2020$0
99215Established patient office or other outpatient visit, 40-54 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820082746View full group profile
NameSpecialtyState
Nurse PractitionerAK
-AK
Physician AssistantAK

Reviews

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Frequently asked questions

Does KENDRICK DAVID BLAIS (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENDRICK DAVID BLAIS (D.O.) uses 1497771109.
Can I rely on KENDRICK DAVID BLAIS (D.O.) being an active provider?
As of the registry snapshot, KENDRICK DAVID BLAIS (D.O.) is marked active.
What taxonomy line describes KENDRICK DAVID BLAIS (D.O.)?
For research purposes, treat KENDRICK DAVID BLAIS (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KENDRICK DAVID BLAIS (D.O.) based?
KENDRICK DAVID BLAIS (D.O.) is tied to Fairbanks, Alaska in the data we show; additional addresses may exist on the full record.
Is the information about KENDRICK DAVID BLAIS (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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