DR. BRADFORD BLAKEMAN (MD) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1447212113
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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NPPES metrics only — not quality of care.
Provider Addresses for DR. BRADFORD BLAKEMAN (MD)
2650 WARRENVILLE RD STE 280
DOWNERS GROVE, IL 605152075
Phone: (630) 324-7900
Type: Location
3900 St Francis Way Ste 200
Lafayette, IN 479054940
Phone: (765) 775-2800
Type: Location
8051 S Emerson Ave Ste 3658
Indianapolis, IN 462378600
Phone: (317) 851-2331
Type: Location
1703 W Stones Crossing Rd Ste 310
Greenwood, IN 461438558
Phone: (317) 528-6772
Type: Location
2560 24th St Ste 201
Rock Island, IL 612015390
Phone: (309) 779-3111
Type: Location
1701 S Creasy Ln
Lafayette, IN 479054972
Phone: (765) 502-4000
Type: Location
1414 W Fair Ave Ste 36
Marquette, MI 498552675
Phone: (906) 225-3870
Type: Location
1414 W Fair Ave Ste 342
Marquette, MI 498555407
Phone: (906) 449-3440
Type: Location
850 W Baraga Ave Ste 20
Marquette, MI 498554550
Phone: (906) 449-3440
Type: Location
801 MacArthur Blvd
Ste 204
Munster, IN 46321
Phone: (219) 836-4220
Fax: (219) 836-4171
Type: Location
PNC, 2650, Warrenville Road, Downers Grove, DuPage County, Illinois, 60515, United States
STE 280
DOWNERS GROVE, IL 60515
Phone: (630) 324-7915
Fax: (630) 271-1813
Type: Mailing
801, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
STE 204
MUNSTER, IN 46321
Phone: (219) 836-4220
Fax: (219) 836-4171
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: 2023-10-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050824000225 | I | Cardiac Surgery | IL | TBD |
| I20170426000252 | I | Thoracic Surgery | MI | TBD |
| I20231010002655 | I | Thoracic Surgery | WI | 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 60515)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Pulmonary Disease | MI | |
| H O S P I T A L I S T | MI | |
| Physician Assistant | MI | |
| Thoracic Surgery | IL | |
| Nurse Practitioner | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | MI |
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