KENT WILLIAM BLAKELY (MD) – Rheumatology Physician, NPI 1134222458

KENT WILLIAM BLAKELY (MD) is a healthcare provider. based in Everett, Washington. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. G162755 (CA). The NPI Number for KENT WILLIAM BLAKELY (MD) is 1134222458

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
KENT WILLIAM BLAKELY (MD)
NPI
1134222458
Phone
(425) 259-4041
Address
1728 W MARINE VIEW DR STE 110
Enumeration Date
6 September 2006
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5702716211
Graduation Year
1988 (38 years ago)
PAC ID
8325069685
Group Practice PAC ID
5395657001
Professional Enrollment ID
I20241231001517
Address ID
PA178229800DA100XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Digital endpointsOther names

167 RHEUMATOLOGY in WA

Provider Addresses for KENT WILLIAM BLAKELY (MD)

  • 1728 W MARINE VIEW DR STE 110

    EVERETT, WA 982012094

    Phone: (425) 259-4041

    Fax: (425) 252-6642

    Type: Mailing

  • 1909 214TH ST SE STE 211

    BOTHELL, WA 980214418

    Phone: (425) 248-2626

    Type: Location

  • 14324 52nd Ave W Unit B

    Edmonds, WA 980263803

    Phone: (425) 951-0704

    Type: Location

  • 6710 W Okanogan Pl

    Kennewick, WA 993368001

    Phone: (509) 942-2528

    Fax: (509) 783-2008

    Type: Location

  • Mendocino Avenue, Downtown Santa Rosa, Santa Rosa, Sonoma County, California, 95402, United States

    SANTA ROSA, CA 954033634

    Phone: (707) 525-6485

    Fax: (707) 573-6918

    Type: Mailing

  • 210, 4th Street, Santa Rosa, Sonoma County, California, 95401, United States

    SANTA ROSA, CA 95404

    Phone: (707) 573-6942

    Fax: (707) 575-6038

    Type: Location

  • 14324 52ND AVE W UNIT B

    EDMONDS, WA 980263803

    Phone: (425) 951-0704

    Type: Mailing

  • 675 BALTIMORE DR

    WILKES BARRE, PA 187027900

    Phone: (800) 275-6401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $687.

Total Amount is formed as General ($687) + Research ($0) + Ownership ($0) = $687.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Amgen Inc. ($291).

Total Amount

$687

General + Research + Ownership

Payments

20

Total payment records

General Amount

$687

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2024-12-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170126001340IRheumatologyWATBD
I20220803001386IRheumatologyMTTBD
I20241231001517IRheumatologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes242158$0
99213Established patient office or other outpatient visit, 20-29 minutes177140$0
99204New patient office or other outpatient visit, 45-59 minutes5555$0
View full utilization report →

Insurance plans in this area (ZIP 98201)

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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: 5395657001View full group profile

Reviews

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Frequently asked questions

Is KENT WILLIAM BLAKELY (MD) listed with a National Provider Identifier?
Yes — KENT WILLIAM BLAKELY (MD) has NPI 1134222458 on file in the registry.
Is KENT WILLIAM BLAKELY (MD) still an active registrant?
KENT WILLIAM BLAKELY (MD) carries an active NPI according to the public dataset.
What expertise is attributed to KENT WILLIAM BLAKELY (MD)?
KENT WILLIAM BLAKELY (MD)'s specialty line reads Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is KENT WILLIAM BLAKELY (MD) associated with Everett?
Public fields place KENT WILLIAM BLAKELY (MD) around Everett, Washington. Always confirm the exact site before visiting.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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