BLAKE KANDAH (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1619362084
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
36 INTERVENTIONAL PAIN MANAGEMENT in OR
Provider Addresses for BLAKE KANDAH (M.D.)
17455 STONEBROOK DR
NORTHVILLE, MI 481684326
Phone: (248) 921-2544
Type: Mailing
74B CENTENNIAL LOOP
EUGENE, OR 974017918
Phone: (541) 743-9003
Type: Location
1400 S POTOMAC ST STE 150
AURORA, CO 800124541
Phone: (720) 307-7246
Fax: (720) 502-5271
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($172).
Total Amount
$247
General + Research + Ownership
Payments
6
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $172 |
| Saluda Medical Americas, Inc. | $74 |
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: 2020-11-05
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 |
|---|---|---|---|---|
| I20201105000495 | I | Physical Medicine And Rehabilitation | CO | 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 48168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Interventional Pain Management | CO | |
| Pain Management, Physical Medicine And Rehabilitation | CO | |
| Physical Medicine And Rehabilitation | CO | |
| Physical Medicine And Rehabilitation, Pain Management | CO | |
| Physical Medicine And Rehabilitation | CO |
Reviews
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