LLOYD W. BLAKE (MD) – Pulmonary Disease Physician, NPI 1487730735

Pulmonary Disease Physician

LLOYD W. BLAKE (MD) is a healthcare provider. based in Boise, Idaho. specializing in Pulmonary Disease Physician. They hold the professional credentials MD. They hold a License No. M11127 (ID). The NPI Number for LLOYD W. BLAKE (MD) is 1487730735

Main info

Male

33 Years Of Experience

Accepts Medicare Assignment

Name

LLOYD W. BLAKE (MD)

NPI

1487730735

Phone

(208) 381-2222

Address

190 E BANNOCK ST

Enumeration Date

30 October 2006

Last Update Date

4 April 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1993 (33 years ago)

PAC ID

3173582491

Group Practice PAC ID

4981878402

Professional Enrollment ID

I20101210000595

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LLOYD W. BLAKE (MD)

St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2222
Type: Mailing
East Gala Street, Meridian, Ada County, Idaho, 83642, United States
MERIDIAN, ID 836424881
Phone: (208) 323-3767
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 83712)

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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: 4981878402View full group profile

Name	Specialty	State
CHRISTINA MARIE FRESTON (DO)	Family Practice	ME
TYLER T BIRCH (D.O.)	Internal Medicine	ID
DR. THORNTON E III BRYAN (MD)	Family Practice	ID
NICOLAS A CAMILO (MD)	-	TX
DR. BRAD BARLOW (MD)	-	OR
DUSTIN I JUDD (MD)	Hand Surgery	ID
NATALIE MARIE HAGUE (PA)	-	ID
JESSICA ROSE MCQUEARY (RN)	Nurse Practitioner	ID
JEFFREY D SMITH (PA C)	Physician Assistant	ID
SCOTT A. HENSON (MD)	General Surgery	ID