BLAKE LEEDS (DO) – Internal Medicine Physician, NPI 1568044063
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,201 INTERNAL MEDICINE in OH
Provider Addresses for BLAKE LEEDS (DO)
5100 W Broad St
Columbus, OH 432281607
Phone: (614) 544-1000
Type: Location
55O South Jackson Street, ACB 3rd Floor
Louisville, KY 40202
Phone: (502) 852-5666
Type: Location
361 HEMHILL DR
GALLOWAY, OH 431192200
Phone: (937) 243-2636
Type: Mailing
5100 W BROAD ST
COLUMBUS, OH 432281607
Phone: (614) 544-1000
Type: Location
660 LONDON AVE STE A
MARYSVILLE, OH 430401515
Phone: (937) 642-1550
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $18 |
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: 2025-07-31
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 |
|---|---|---|---|---|
| I20250731002487 | I | Internal Medicine | OH | 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 43228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Clinical Social Worker | OH | |
| N E U R O L O G Y | OH | |
| General Surgery | OH | |
| Nurse Practitioner | OH | |
| General Surgery, Colorectal Surgery (Proctology) | OH |
Reviews
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