ADVANCED GYNECOLOGY & PELVIC HEALTH SPECIALISTS, LLC
NPI 1265202105
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Noblesville, IN

Q: What is Advanced Gynecology & Pelvic Health Specialists, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since January 02, 2024CLIA 15D2302748 · Microscopy

14540 PRAIRIE LAKES BLVD N STE 110, NOBLESVILLE, IN 46060(317) 982-5222(317) 982-5223 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Mar 8, 2024, Jan 2, 2024 (3 updates tracked since 2024).

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About Advanced Gynecology & Pelvic Health Specialists, Llc NPPES

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

ADVANCED GYNECOLOGY & PELVIC HEALTH SPECIALISTS, LLC (NPI 1265202105) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Noblesville, Indiana and active in the NPI registry since January 2024. The organization holds a CLIA Microscopy certificate valid through April 15, 2028 and lists Jeffrey Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1265202105

Entity TypeOrganization

Primary Taxonomy207VF0040X

Legal Business NameADVANCED GYNECOLOGY & PELVIC HEALTH SPECIALISTS, LLC

Location Address14540 PRAIRIE LAKES BLVD N STE 110Noblesville, IN 46060-4370

Mailing Address14540 Prairie Lakes Blvd N Ste 110Noblesville, IN 46060-4370 · (317) 982-5222 · Fax (317) 982-5223

Phone(317) 982-5222

Fax(317) 982-5223

Organization SubpartNo

Authorized OfficialJeffrey BlakeOwner · (765) 623-6226

Enumeration DateJanuary 2, 2024

Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1265202105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

14540 PRAIRIE LAKES BLVD N STE 110, Noblesville, IN 46060

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D2302748

Advanced Gynecology & Pelvic Health Specialists LLC · Noblesville, IN

Active · expires Apr 15, 2028

CLIA Number15D2302748

Laboratory TypePhysician Office

Certificate Effective DateApril 16, 2026

Certificate Expiration DateApril 15, 2028

Laboratory DirectorJeffrey M. Blake

Laboratory Phone(317) 982-5222

Laboratory LocationAdvanced Gynecology & Pelvic Health Specialists LLC14540 Prairie Lakes Blvd N Ste 110, Noblesville, IN 46060

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY M BLAKE MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

14540 PRAIRIE LAKES BLVD N STE 110
NOBLESVILLE, IN 46060

Hamilton County (317) 982-5222

BREANNA DAWN DOVE PA-C

Physician Assistant

14540 PRAIRIE LAKES BLVD N STE 110
NOBLESVILLE, IN 46060

Hamilton County (317) 982-5222

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 Advanced Gynecology & Pelvic Health Specialists, LLC's NPI number?

The NPI number for Advanced Gynecology & Pelvic Health Specialists, LLC is 1265202105. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Advanced Gynecology & Pelvic Health Specialists, LLC located?

Advanced Gynecology & Pelvic Health Specialists, LLC is located at 14540 Prairie Lakes Blvd N Ste 110, Noblesville, IN 46060. The listed phone number is (317) 982-5222.

What is Advanced Gynecology & Pelvic Health Specialists, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Does Advanced Gynecology & Pelvic Health Specialists, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2302748) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Gynecology & Pelvic Health Specialists, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Advanced Gynecology & Pelvic Health Specialists, LLC 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 Advanced Gynecology & Pelvic Health Specialists, LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.