DR. EMILY ELISABETH BLAKE (MD) – Obstetrics & Gynecology Physician, NPI 1235635848
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
962 OBSTETRICS/GYNECOLOGY in IN
Loading map...
Provider Addresses for DR. EMILY ELISABETH BLAKE (MD)
Naab Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601972
Phone: (317) 338-7510
Fax: (317) 338-7540
Type: Location
13825 S REDWOOD RD STE 200
BLUFFDALE, UT 840655255
Phone: (801) 569-2626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $1,736.
Total Amount is formed as General ($1,736) + Research ($0) + Ownership ($0) = $1,736.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,280).
Total Amount
$1,736
General + Research + Ownership
Payments
29
Total payment records
General Amount
$1,736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,280 |
| Hologic Sales and Service, LLC | $114 |
| ABBVIE INC. | $113 |
| Astellas Pharma US Inc | $46 |
| SHIELD THERAPEUTICS INC | $36 |
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: 2022-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20220803001788 | I | Obstetrics/Gynecology | UT | 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 46260)
Loading plans...
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 | UT | |
| - | UT | |
| - | UT | |
| Physician Assistant | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| Physician Assistant | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.