DR. CHARLES BLAKE (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1851362792

DR. CHARLES BLAKE (M.D.) is a healthcare provider. based in Tucson, Arizona. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials M.D.. They hold a License No. 19358 (AZ). The NPI Number for DR. CHARLES BLAKE (M.D.) is 1851362792

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES BLAKE (M.D.)
NPI
1851362792
Phone
(520) 795-8371
Address
2102 N Country Club Rd
Enumeration Date
30 January 2006
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
5208498900
Graduation Year
1986 (40 years ago)
PAC ID
9830157015
Group Practice PAC ID
0547560070
Professional Enrollment ID
I20101022000275
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. CHARLES BLAKE (M.D.)

  • 2102 N Country Club Rd

    Bldg B

    Tucson, AZ 857162831

    Phone: (520) 795-8371

    Type: Location

  • 6565 E CARONDELET DR STE 155

    TUCSON, AZ 85710

    Phone: (520) 849-8900

    Fax: (520) 849-7137

    Type: Location

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: 2010-10-22

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
I20101022000275IPhysical Medicine And RehabilitationAZTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes38356$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5129$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 85716)

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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: 0547560070View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)AZ
-AZ
Internal MedicineAZ
U R O L O G YNC
Nurse PractitionerAZ
Physician AssistantAZ
Family PracticeWV
Interventional Cardiology, Internal MedicineAZ
N E U R O L O G YAZ
-AZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CHARLES BLAKE (M.D.)?
DR. CHARLES BLAKE (M.D.) — NPI 1851362792 — is the standard way to identify this listing.
Can I rely on DR. CHARLES BLAKE (M.D.) being an active provider?
As of the registry snapshot, DR. CHARLES BLAKE (M.D.) is marked active.
What taxonomy line describes DR. CHARLES BLAKE (M.D.)?
For research purposes, treat DR. CHARLES BLAKE (M.D.) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CHARLES BLAKE (M.D.) on a map?
Expect Tucson, Arizona as a primary anchor for DR. CHARLES BLAKE (M.D.) unless the record lists multiple sites.
Is the information about DR. CHARLES BLAKE (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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