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

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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, maintains a secondary practice location in Rochester, and is a graduate of Wayne State University School Of Medicine (1993).

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
Fax(586) 992-9568
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1993
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

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid4389585MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea C Blake M.d. 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 ID2264685890
PECOS Enrollment IDI20130110000453
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Blake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 66 clinicians in this Medicare group
Obstetrics & Gynecology
1135 W UNIVERSITY DR STE 100
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Blake reassigns Medicare benefits to 2 organizations: Henry Ford Health Rochester Hospital (Rochester, MI) and Contemporary Obstetrics & Gynecology, PC (Rochester, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Blake accept?

Health plans from Blue Care Network of Michigan list Andrea Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 8 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.