EDDIE JR. BLAY (M.D) – Surgical Critical Care Physician, NPI 1174935217

EDDIE JR. BLAY (M.D) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS), CRITICAL CARE (INTENSIVISTS), GENERAL SURGERY. They hold the professional credentials M.D. They hold a License No. 036170087 (IL). The NPI Number for EDDIE JR. BLAY (M.D) is 1174935217

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
EDDIE JR. BLAY (M.D)
NPI
1174935217
Phone
Not provided
Address
3401 N BROAD ST
Enumeration Date
23 May 2014
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8172507030
Graduation Year
2014 (12 years ago)
PAC ID
6406101443
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20250725002161
Address ID
TX761042133FO1325XAVEX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:12State licenses:5Digital endpointsOther names

1,997 GENERAL SURGERY in PA

Provider Addresses for EDDIE JR. BLAY (M.D)

  • 3401 N BROAD ST

    PHILADELPHIA, PA 191405103

    Phone:

    Type: Mailing

  • 1325 PENNSYLVANIA AVE STE 690

    FORT WORTH, TX 761042133

    Phone: (314) 251-6440

    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: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20240807000397IGeneral SurgeryILTBD
I20240807000794IGeneral SurgeryWITBD
I20240912003471IGeneral SurgeryMOTBD
I20250725002161ICritical Care (Intensivists)TXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5636$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4949$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2424$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 19140)

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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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

Can I use this page to confirm EDDIE JR. BLAY (M.D)'s NPI?
Yes. EDDIE JR. BLAY (M.D) is listed with NPI 1174935217 in the public NPI dataset.
Is EDDIE JR. BLAY (M.D) listed as active for patients and plans?
The listing shows EDDIE JR. BLAY (M.D) as active in the NPI system.
What healthcare role does EDDIE JR. BLAY (M.D) hold?
Scheduling teams often label EDDIE JR. BLAY (M.D) under Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.
Does EDDIE JR. BLAY (M.D) list a practice location?
Patients near Philadelphia, Pennsylvania may find EDDIE JR. BLAY (M.D) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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