KELLY KEUNEKE BLAZEK MD
NPI 1053657189
Obstetrics & Gynecology in Houston, TX

Q: What is Kelly Blazek's NPI number?

The NPI number for Kelly Blazek is 1053657189. It was assigned to this individual provider in the NPPES registry on December 18, 2012.

Q: What is Kelly Blazek's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Blazek was last updated on December 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2012PECOS Enrolled

1 BAYLOR PLZ, BCM610, HOUSTON, TX 77030(832) 826-7315 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Keuneke Blazek Md NPPES

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

KELLY KEUNEKE BLAZEK MD (NPI 1053657189) is an individual obstetrics & gynecology provider in Houston, Texas, licensed in Texas (BP10042984) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053657189

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY KEUNEKE BLAZEKCredential: MD

Location Address1 BAYLOR PLZ, BCM610Houston, TX 77030-3411

Mailing Address6301 Almeda Rd, Apt 615Houston, TX 77021

Phone(832) 826-7315

Sole ProprietorNo

Enumeration DateDecember 18, 2012

✔ NPI 1053657189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · BP10042984

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1 BAYLOR PLZ, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Keuneke Blazek Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

BAYLOR COLLEGE OF MEDICINE

General Acute Care Hospital

1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030

Harris County (713) 798-4620

MATTHEW CARROLL

Obstetrics & Gynecology

1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030

Harris County (832) 826-7372

DR. HOLLAND MANON KAPLAN MD

Hospitalist