DR. DANIEL R BLAKE (DO) – Anesthesiology Physician, NPI 1205822665

DR. DANIEL R BLAKE (DO) is a healthcare provider. based in Las vegas, Nevada. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 2948 (WI). The NPI Number for DR. DANIEL R BLAKE (DO) is 1205822665

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL R BLAKE (DO)
NPI
1205822665
Phone
(702) 878-0070
Address
9127 W RUSSELL RD STE 110
Enumeration Date
21 September 2005
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
2625778000
Graduation Year
2001 (25 years ago)
PAC ID
7012945033
Group Practice PAC ID
2163968819
Professional Enrollment ID
I20240827004069
Address ID
WI531581984PL9555XSTXX300

Contacts

Secure Messaging
dblake401773@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

555 ANESTHESIOLOGY in NV

Provider Addresses for DR. DANIEL R BLAKE (DO)

  • 9127 W RUSSELL RD STE 110

    LAS VEGAS, NV 89148

    Phone: (702) 878-0070

    Fax: (702) 209-2064

    Type: Location

  • 855 N Westhaven Dr

    Oshkosh, WI 549047668

    Phone: (920) 303-8700

    Type: Location

  • 3157 N RAINBOW BLVD # 518

    LAS VEGAS, NV 891084578

    Phone: (702) 386-4700

    Fax: (702) 386-4701

    Type: Mailing

  • 7250 PEAK DR STE 100

    LAS VEGAS, NV 891289028

    Phone: (702) 386-4700

    Fax: (702) 386-4701

    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: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050801000725IAnesthesiologyNVTBD
I20240827004069IAnesthesiologyWITBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)4747$0
64445Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)2626$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1414$0
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 89148)

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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: 2163968819View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
Anesthesiology, Pain Management, AnesthesiologyNY
Certified Registered Nurse Anesthetist (Crna)WI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YCO
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

What is DR. DANIEL R BLAKE (DO)'s NPI number?
DR. DANIEL R BLAKE (DO)'s NPI is 1205822665 — the number used across U.S. healthcare to identify this provider.
Is DR. DANIEL R BLAKE (DO) still an active registrant?
DR. DANIEL R BLAKE (DO) carries an active NPI according to the public dataset.
What kind of doctor is DR. DANIEL R BLAKE (DO)?
DR. DANIEL R BLAKE (DO) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. DANIEL R BLAKE (DO) registered?
Use Las Vegas, Nevada as the headline location for DR. DANIEL R BLAKE (DO) here.
When was this NPI issued?
Enumeration for DR. DANIEL R BLAKE (DO) is noted as September 21, 2005 where the registry provides it.

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