DR. KEITH A BLANKS (D.O) – Emergency Medicine Physician, NPI 1255379640

DR. KEITH A BLANKS (D.O) is a healthcare provider. based in Sunrise, Florida. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. 052042 (GA). The NPI Number for DR. KEITH A BLANKS (D.O) is 1255379640

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEITH A BLANKS (D.O)
NPI
1255379640
Phone
(800) 424-3672
Address
14050 NW 14TH ST
Enumeration Date
4 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7064942100
Graduation Year
2000 (26 years ago)
PAC ID
0648244889
Group Practice PAC ID
6305100850
Professional Enrollment ID
I20040823001437
Address ID
GA319093578CO100XXCTXX300
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

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for DR. KEITH A BLANKS (D.O)

  • 14050, Northwest 14th Street, Sunrise, Broward County, Florida, 33323, United States

    SUITE 190

    SUNRISE, FL 333232865

    Phone: (800) 424-3672

    Fax: (954) 377-3042

    Type: Mailing

  • Midtown Medical Center, 710, Center Street, Rose Hill, Columbus, Muscogee County, Georgia, 31904, United States

    COLUMBUS, GA 319011527

    Phone: (706) 571-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($158).

Total Amount

$253

General + Research + Ownership

Payments

6

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040823001437IEmergency MedicineGATBD
I20050207000607IFamily PracticeALTBD

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
99285Emergency department visit with high level of medical decision making293282$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only253236$0
99284Emergency department visit with moderate level of medical decision making122118$0
99291Critical care, first 30-74 minutes3230$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 33323)

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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: 6305100850View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineNY
Emergency MedicineTX
Emergency MedicineCA
Nurse PractitionerGA
Emergency MedicineNJ
Emergency MedicineWA
Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does DR. KEITH A BLANKS (D.O) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KEITH A BLANKS (D.O) uses 1255379640.
Is DR. KEITH A BLANKS (D.O) still practicing?
DR. KEITH A BLANKS (D.O) is currently listed as active in the public NPI registry.
What is DR. KEITH A BLANKS (D.O)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. KEITH A BLANKS (D.O) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEITH A BLANKS (D.O)?
DR. KEITH A BLANKS (D.O)'s geographic hint is Sunrise, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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