KIMIKO BLAIR (MD) – Surgery Physician, NPI 1114190337

KIMIKO BLAIR (MD) is a healthcare provider. based in Saginaw, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301087518 (MI). The NPI Number for KIMIKO BLAIR (MD) is 1114190337

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMIKO BLAIR (MD)
NPI
1114190337
Phone
(989) 790-4855
Address
5415 FASHION SQUARE BLVD
Enumeration Date
9 April 2008
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
CENTRAL MICHIGAN COLLEGE OF MEDICINE
Secondary Phone
5054396100
Graduation Year
2020 (6 years ago)
PAC ID
5193902757
Group Practice PAC ID
3173516606
Professional Enrollment ID
I20210427002116
Address ID
NM883108700AL2669XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,452 GENERAL SURGERY in MI

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Provider Addresses for KIMIKO BLAIR (MD)

  • Fashion Square Boulevard, Kochville Township, Saginaw County, Michigan, 48604, United States

    SAGINAW, MI 486048200

    Phone: (989) 790-4855

    Type: Mailing

  • 2559 MEDICAL DR STE 3200

    ALAMOGORDO, NM 883108703

    Phone: (575) 446-5365

    Type: Mailing

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: 2021-04-27

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210427002116IGeneral SurgeryNMTBD

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 minutes6656$0
45380Biopsy of large bowel using a flexible endoscope5959$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4644$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4543$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4130$0
View full utilization report →

Insurance plans in this area (ZIP 48604)

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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: 3173516606View full group profile
NameSpecialtyState
Nurse PractitionerNM
Certified Registered Nurse Anesthetist (Crna)NV
Internal Medicine, GastroenterologyNM
General SurgeryNM
O B S T E T R I C S/ G Y N E C O L O G YNM
Nurse PractitionerTX
Family PracticeNM
-NM
Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseNM
General SurgeryVA

Reviews

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Frequently asked questions

Does KIMIKO BLAIR (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMIKO BLAIR (MD) uses 1114190337.
Does CMS list KIMIKO BLAIR (MD) as active?
Yes — KIMIKO BLAIR (MD) is active in the NPI listing used on this page.
What healthcare role does KIMIKO BLAIR (MD) hold?
Scheduling teams often label KIMIKO BLAIR (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Does KIMIKO BLAIR (MD) list a practice location?
Patients near Saginaw, Michigan may find KIMIKO BLAIR (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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