REGINA MICHELLE ADAIR-BLACKWELL (MD) – Obstetrics & Gynecology Physician, NPI 1326069675
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
2,538 OBSTETRICS/GYNECOLOGY in FL
Provider Addresses for REGINA MICHELLE ADAIR-BLACKWELL (MD)
14710 Bruce B Downs Blvd
Tampa, FL 336132800
Phone: (813) 738-6691
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
3702, New Vision Drive, Fort Wayne, Allen County, Indiana, 46845, United States
BLDG B
FORT WAYNE, IN 468451703
Phone: (260) 266-8210
Fax: (260) 458-5636
Type: Mailing
Parkview Plaza Drive, Fort Wayne, Allen County, Indiana, 46845, United States
SUITE 101
FORT WAYNE, IN 468451707
Phone: (260) 425-6650
Fax: (260) 425-6649
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: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050623000618 | I | Obstetrics/Gynecology | IN | TBD |
| I20221121001457 | I | Obstetrics/Gynecology | FL | TBD |
| I20230424001752 | I | Obstetrics/Gynecology | DE | TBD |
| I20250424000590 | I | Obstetrics/Gynecology | AR | TBD |
| I20250716004221 | I | Obstetrics/Gynecology | LA | TBD |
| I20250812003387 | I | Obstetrics/Gynecology | GA | TBD |
| I20250825002973 | I | Obstetrics/Gynecology | WI | TBD |
| I20251013000263 | I | Obstetrics/Gynecology | MD | TBD |
| I20251106001984 | I | Obstetrics/Gynecology | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | IN | 76830 | Ultrasound pelvis through vagina | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL |
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