BLAKE C. LANDRY (MD) – Specialist, NPI 1417953597

BLAKE C. LANDRY (MD) is a healthcare provider. based in Lake mary, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 022661 (LA). The NPI Number for BLAKE C. LANDRY (MD) is 1417953597

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE C. LANDRY (MD)
NPI
1417953597
Phone
(321) 841-5281
Address
380 RINEHART RD
Enumeration Date
23 June 2005
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218418555
Graduation Year
1995 (31 years ago)
PAC ID
8729158092
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20251022002686
Address ID
FL328062031OR83XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for BLAKE C. LANDRY (MD)

  • 380 RINEHART RD

    LAKE MARY, FL 327462551

    Phone: (321) 841-5281

    Fax: (321) 843-2068

    Type: Location

  • Medical Center Drive, Pearl Acres, Slidell, St. Tammany Parish, Louisiana, 70461, United States

    STE 102

    SLIDELL, LA 704615537

    Phone: (985) 643-3100

    Fax: (985) 641-3777

    Type: Location

  • 1900 Don Wickham Dr Ste 120

    Clermont, FL 347111980

    Phone: (321) 841-5281

    Fax: (321) 843-2068

    Type: Location

  • 433 Plaza St

    Bogalusa, LA 704273729

    Phone: (985) 730-6700

    Fax: (985) 730-6713

    Type: Location

  • 2365 Gause Blvd E Ste E

    Slidell, LA 704614142

    Phone: (985) 643-1194

    Fax: (985) 643-8869

    Type: Location

  • 83 W MILLER ST

    ORLANDO, FL 328062031

    Phone: (321) 841-5281

    Fax: (321) 843-2068

    Type: Mailing

  • 561 WINBOURNE DR

    SLIDELL, LA 704615099

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $551.

Total Amount is formed as General ($551) + Research ($0) + Ownership ($0) = $551.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($276).

Total Amount

$551

General + Research + Ownership

Payments

37

Total payment records

General Amount

$551

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080529000863IObstetrics/GynecologyLATBD
I20231114000668IObstetrics/GynecologyMSTBD
I20251022002686IObstetrics/GynecologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3630$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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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: 9537059084View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Internal Medicine, Critical Care (Intensivists), Internal MedicineFL
Hand Surgery, Orthopedic Surgery, Sports MedicineFL
Physician AssistantFL
-FL
Critical Care (Intensivists), General SurgeryFL
-FL

Reviews

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Frequently asked questions

Can I verify BLAKE C. LANDRY (MD) with an NPI only?
You can start verification with NPI 1417953597 for BLAKE C. LANDRY (MD), then check state licensing separately.
Is BLAKE C. LANDRY (MD) still practicing?
BLAKE C. LANDRY (MD) is currently listed as active in the public NPI registry.
What is BLAKE C. LANDRY (MD)'s specialty?
The listing groups BLAKE C. LANDRY (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does BLAKE C. LANDRY (MD) list a practice location?
Patients near Lake Mary, Florida may find BLAKE C. LANDRY (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.