ANDREA C BLAKE M.D.
NPI 1073606026
Obstetrics & Gynecology in Washington Township, MI

Q: What is Andrea Blake's NPI number?

The NPI number for Andrea Blake is 1073606026. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Andrea Blake'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 Andrea Blake was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 02, 2006PECOS Enrolled

57850 VAN DYKE, SUITE 150, WASHINGTON TOWNSHIP, MI 48307(586) 992-9567(586) 992-9568 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Nov 14, 2016 (2 updates tracked since 2016).

On this page

About Andrea C Blake M.d. NPPES

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

ANDREA C BLAKE M.D. (NPI 1073606026) is an individual obstetrics & gynecology provider in Washington Township, Michigan, licensed in Michigan (4301061308) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1073606026

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameANDREA C BLAKECredential: M.D.

Location Address57850 VAN DYKE, SUITE 150Washington Township, MI 48307

Mailing Address1 Ford Place, Ste 3aRochester, MI 48307-1886 · (313) 874-4806

Phone(586) 992-9567

Fax(586) 992-9568

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1073606026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4301061308

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.

57850 VAN DYKE, Washington Township, MI 48307

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Secondary Practice Location 1

Location 11101 W University DrRochester, MI 48307-1863 · Phone (248) 652-5120 · Fax (248) 650-9160

Other Identifiers 1

Medicaid4389585MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea C Blake M.d. 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 48307 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Blake's NPI number?

The NPI number for Andrea Blake is 1073606026. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Andrea Blake located?

Andrea Blake practices at 57850 Van Dyke Suite 150, Washington Township, MI 48307. The listed phone number is (586) 992-9567.

What is Andrea Blake's specialty?

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

Is Andrea Blake enrolled in Medicare?

Yes. Andrea Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Blake was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.