BLAKE ROBERT SMITH (MD) – Otolaryngology Physician, NPI 1780927269

BLAKE ROBERT SMITH (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 079904 (GA). The NPI Number for BLAKE ROBERT SMITH (MD) is 1780927269

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE ROBERT SMITH (MD)
NPI
1780927269
Phone
(216) 444-4949
Address
9500 Euclid Ave
Enumeration Date
3 April 2013
Last Update Date
17 January 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7706776043
Graduation Year
2013 (13 years ago)
PAC ID
0840543146
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20181105000307
Address ID
GA303283473AT20XXXPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

535 OTOLARYNGOLOGY in OH

Provider Addresses for BLAKE ROBERT SMITH (MD)

  • 9500 Euclid Ave

    Head and Neck Institute, Cleveland Clinic

    Cleveland, OH 441950001

    Phone: (216) 444-4949

    Fax: (216) 636-1548

    Type: Location

  • 9500 EUCLID AVE

    HEAD AND NECK INSTITUTE, CLEVELAND CLINIC

    CLEVELAND, OH 441950001

    Phone: (216) 444-4949

    Fax: (216) 636-1548

    Type: Mailing

  • 3650 STEVE REYNOLDS BLVD DEPT OF

    DULUTH, GA 300964506

    Phone: (404) 365-0966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2023-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($366).

Total Amount

$500

General + Research + Ownership

Payments

9

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181105000307IOtolaryngologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44195)

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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: 6204829013View full group profile

Reviews

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Frequently asked questions

What is BLAKE ROBERT SMITH (MD)'s NPI number?
BLAKE ROBERT SMITH (MD)'s NPI is 1780927269 — the number used across U.S. healthcare to identify this provider.
Is BLAKE ROBERT SMITH (MD) still an active registrant?
BLAKE ROBERT SMITH (MD) carries an active NPI according to the public dataset.
How would a patient describe BLAKE ROBERT SMITH (MD)'s focus?
For BLAKE ROBERT SMITH (MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is BLAKE ROBERT SMITH (MD) located near Cleveland?
BLAKE ROBERT SMITH (MD) currently maps to Cleveland, Ohio in this extract.
When was this NPI issued?
Enumeration for BLAKE ROBERT SMITH (MD) is noted as April 3, 2013 where the registry provides it.

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