BLAKE EVANS MD
NPI 1003445115
Anesthesiology in Louisville, KY

Q: What is Blake Evans's NPI number?

The NPI number for Blake Evans is 1003445115. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Blake Evans's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Evans was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment

120 EXECUTIVE PARK, LOUISVILLE, KY 40207(502) 855-7200(502) 855-7201 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Mar 26, 2025, Apr 6, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Blake Evans Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE EVANS MD (NPI 1003445115) is an individual anesthesiology provider in Louisville, Kentucky, licensed in Kentucky (60610) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003445115

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameBLAKE EVANSCredential: MD

Location Address120 EXECUTIVE PARKLouisville, KY 40207-4201

Mailing AddressPo Box 21890Belfast, ME 04915-4115 · (502) 907-0356 · Fax (502) 919-9780

Phone(502) 855-7200

Fax(502) 855-7201

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateJune 25, 20254 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1003445115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in KY · 60610

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 60610 (KY)

Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 01096300A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

120 EXECUTIVE PARK, Louisville, KY 40207

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Secondary Practice Locations 2

Location 1120 Executive ParkSt Matthews, KY 40207-4201 · Phone (502) 547-0572

Location 23901 Rainbow BlvdKansas City, KS 66160-4201 · Phone (913) 588-6670

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Evans Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709200850

PECOS Enrollment IDI20250410001868, I20250417003228

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150009

Location1220 Missouri AveJeffersonville, IN 47130 · Clark County

Emergency services Birthing friendly

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150044

Location1850 State StNew Albany, IN 47150 · Floyd County

Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES W JACKSON JR. MD

Anesthesiology (Pain Medicine)