DR. BLAKE WILLIAM MCGOWAN M.D.
NPI 1174518229
Family Medicine in Little Rock, AR

Active since September 14, 2005PECOS Enrolled
500 S UNIVERSITY AVE, SUITE 808, LITTLE ROCK, AR 72205(501) 660-4484(501) 660-4490 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2021, Jun 21, 2016 (2 updates tracked since 2016).

About Dr. Blake William Mcgowan M.d. NPPES

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

DR. BLAKE WILLIAM MCGOWAN M.D. (NPI 1174518229) is an individual family medicine provider in Little Rock, Arkansas, licensed in Arkansas (E4101) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1174518229
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BLAKE WILLIAM MCGOWANCredential: M.D.
Location Address500 S UNIVERSITY AVE, SUITE 808Little Rock, AR 72205-5302
Mailing Address500 S University Ave, Suite 808Little Rock, AR 72205-5302 · (501) 660-4484 · Fax (501) 660-4490
Fax(501) 660-4490
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1174518229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · E4101
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
500 S UNIVERSITY AVE, Little Rock, AR 72205

Other Names 1

Other Name (5)W. Blake Mcgowan Md

Secondary Practice Location 1

Location 164 Bleecker St # 151New York, NY 10012-2410 · Phone (302) 313-1584

Other Identifiers 3

OtherP00168487Ralroad Medicare
Other01-01185AR · United Healthcare
Other04080013400AR · Qualchoice

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Blake William Mcgowan 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 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Podiatrist (Foot Surgery)
500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205
Allergy & Immunology
500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205
Family Medicine
500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205
Registered Nurse
500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205
Internal Medicine (Nephrology)
500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205
Clinic/Center (Radiology, Mammography)
500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205
Physical Medicine & Rehabilitation
500 S UNIVERSITY AVE, SUITE 705
LITTLE ROCK, AR 72205

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 Blake Mcgowan's NPI number?

The NPI number for Blake Mcgowan is 1174518229. It was assigned to this individual provider in the NPPES registry on September 14, 2005. The provider is also known as W. Blake Mcgowan MD.

Where is Blake Mcgowan located?

Blake Mcgowan practices at 500 S University Ave Suite 808, Little Rock, AR 72205. The listed phone number is (501) 660-4484.

What is Blake Mcgowan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blake Mcgowan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Mcgowan was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.