DR. DAVID PAUL BLAKE (MD, MPH) – Surgery Physician, NPI 1063484210

DR. DAVID PAUL BLAKE (MD, MPH) is a healthcare provider. based in Hartford, Connecticut. specializing in Surgery Physician. They hold the professional credentials MD, MPH. They hold a License No. 35.093895 (OH). The NPI Number for DR. DAVID PAUL BLAKE (MD, MPH) is 1063484210

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID PAUL BLAKE (MD, MPH)
NPI
1063484210
Phone
(860) 246-2071
Address
85 Seymour St Ste 415
Enumeration Date
2 February 2006
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037712960
Graduation Year
1990 (36 years ago)
PAC ID
4082769393
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20130417000539

Contacts

Secure Messaging
dblake669122@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

Provider Addresses for DR. DAVID PAUL BLAKE (MD, MPH)

  • 85 Seymour St Ste 415

    Hartford, CT 061065523

    Phone: (860) 246-2071

    Type: Location

  • 6565 Arlington Blvd Ste 500

    Falls Church, VA 220423018

    Phone: (703) 531-2246

    Fax: (703) 237-7895

    Type: Location

  • 80 Seymour St

    Hartford Hospital Surgery Dept

    Hartford, CT 06102

    Phone: (860) 972-4189

    Type: Location

  • 825 Fairfax Ave

    Sixth Floor

    Norfolk, VA 235071914

    Phone: (757) 446-8950

    Type: Location

  • Inova Women's Hospital, 3300, Gallows Road, Falls Church, Fairfax County, Virginia, 22042, United States

    FALLS CHURCH, VA 220423307

    Phone: (703) 531-2246

    Fax: (703) 237-7895

    Type: Location

  • Seymour Street, Manchester, Hartford County, Connecticut, 06042, United States

    HARTFORD, CT 061065523

    Phone: (860) 246-2071

    Type: Mailing

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

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: 2020-01-24

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
I20200124000837IGeneral SurgeryDCTBD

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 minutes208115$0
99291Critical care, first 30-74 minutes10559$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6953$0
99238Hospital discharge day management, 30 minutes or less6565$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6565$0
View full utilization report →

Insurance plans in this area (ZIP 06106)

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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: 2466351093View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DAVID PAUL BLAKE (MD, MPH)'s NPI?
Yes. DR. DAVID PAUL BLAKE (MD, MPH) is listed with NPI 1063484210 in the public NPI dataset.
Does CMS list DR. DAVID PAUL BLAKE (MD, MPH) as active?
Yes — DR. DAVID PAUL BLAKE (MD, MPH) is active in the NPI listing used on this page.
What is DR. DAVID PAUL BLAKE (MD, MPH) best known for clinically?
Directory data describes DR. DAVID PAUL BLAKE (MD, MPH) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does DR. DAVID PAUL BLAKE (MD, MPH) serve?
DR. DAVID PAUL BLAKE (MD, MPH)'s listing highlights Hartford, Connecticut; more addresses can appear in NPPES.
Why does DR. DAVID PAUL BLAKE (MD, MPH) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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