BLAKE L KENDALL (DO) – Emergency Medicine Physician, NPI 1649202961

BLAKE L KENDALL (DO) is a healthcare provider. based in Fort worth, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS9665 (FL). The NPI Number for BLAKE L KENDALL (DO) is 1649202961

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
BLAKE L KENDALL (DO)
NPI
1649202961
Phone
(817) 451-4208
Address
PO BOX 24085
Enumeration Date
7 July 2006
Last Update Date
17 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043340910
Graduation Year
2001 (25 years ago)
PAC ID
1850307620
Group Practice PAC ID
4789039058
Professional Enrollment ID
I20060302000621
Address ID
FL334146103WE10101BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for BLAKE L KENDALL (DO)

  • PO BOX 24085

    FORT WORTH, TX 761241085

    Phone: (817) 451-4208

    Type: Mailing

  • Forest Hill Boulevard, Wellington, Palm Beach County, Florida, 33415, United States

    WELLINGTON, FL 334146103

    Phone: (561) 798-8535

    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: 2006-03-02

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
I20060302000621IEmergency MedicineFLTBD

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
99285Emergency department visit with high level of medical decision making240236$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only197181$0
99284Emergency department visit with moderate level of medical decision making142139$0
99291Critical care, first 30-74 minutes7168$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 76124)

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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: 4789039058View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Family Practice, Emergency MedicineFL
Emergency MedicineFL
Emergency MedicinePA
Emergency MedicineTX
Emergency MedicineFL
Emergency MedicineTX
Emergency MedicineOH

Reviews

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Frequently asked questions

Can I cross-check BLAKE L KENDALL (DO) using NPI 1649202961?
NPI 1649202961 belongs to BLAKE L KENDALL (DO); compare other details if you need extra assurance.
Is BLAKE L KENDALL (DO) still an active registrant?
BLAKE L KENDALL (DO) carries an active NPI according to the public dataset.
How would a patient describe BLAKE L KENDALL (DO)'s focus?
For BLAKE L KENDALL (DO), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BLAKE L KENDALL (DO) located near Fort Worth?
BLAKE L KENDALL (DO) currently maps to Fort Worth, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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