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JEFFREY BLAKE MD
NPI 1093734451
Pediatrics in Tacoma, WA

Active since July 18, 2006PECOS Enrolled
317 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-1418 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Blake Md NPPES

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

JEFFREY BLAKE MD (NPI 1093734451) is an individual pediatrics provider in Tacoma, Washington, licensed in Washington (MD00044860) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093734451
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJEFFREY BLAKECredential: MD
Location Address317 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4234
Mailing Address315 Martin Luther King Jr WayTacoma, WA 98405-4234 · (253) 403-1418
Phone(253) 403-1418
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1093734451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00044860
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
317 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Jeffrey Blake 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 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUYOUNG PARK
Student in an Organized Health Care Education/Training Program
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 223-0927
ADA GUTIERREZ RN
Registered Nurse
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1400
MARY BRIDGE CHILDREN'S HOSPITAL
Durable Medical Equipment & Medical Supplies
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1420
SARAH JOY MCAULEY RDN, CD
Dietitian, Registered
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-3664
KIMBERLY WELLS MD
Pediatrics (Pediatric Emergency Medicine)
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1418
KATRINA LYNN STERLING ARNP
Nurse Practitioner (Pediatrics)
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1418
HEATHER LYNN HORNER
Social Worker (Clinical)
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 403-1418
DEIRDRE WELLS MS RD CSPCC
Dietitian, Registered
317 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 492-6630

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 Jeffrey Blake's NPI number?

The NPI number for Jeffrey Blake is 1093734451. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jeffrey Blake located?

Jeffrey Blake practices at 317 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 403-1418.

What is Jeffrey Blake's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jeffrey Blake enrolled in Medicare?

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

What insurance does Jeffrey Blake accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jeffrey 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 Jeffrey Blake was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.