ROBERT B BLAKE MD
NPI 1396035481
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Indianapolis, IN

Q: What is Robert Blake's NPI number?

The NPI number for Robert Blake is 1396035481. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Robert Blake's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Q: When was this NPI record last updated?

The NPPES record for Robert Blake was last updated on March 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7450(317) 968-1193 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2025, Sep 25, 2024, Feb 3, 2021 (3 updates tracked since 2021).

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About Robert B Blake Md NPPES

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

ROBERT B BLAKE MD (NPI 1396035481) is an individual neurology with special qualifications in child neurology provider in Indianapolis, Indiana, licensed in Indiana (01078434A) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Baylor College Of Medicine (2011).

NPPES Registry Identity

NPI1396035481

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameROBERT B BLAKECredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 948-7450

Fax(317) 968-1193

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2011

Enumeration DateApril 11, 2011

Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1396035481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in IN · 01078434A

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 01078434A (IN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Secondary Practice Locations 2

Location 13333 Burnet Avenue, ML 2015Cincinnati, OH 45229-3039 · Phone (513) 636-4222 · Fax (513) 636-4991

Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 2

Medicaid300002988IN

Other000001098706IN · Anthem Ptan

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 and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert B Blake Md 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 ID2365719432

PECOS Enrollment IDI20170519001285

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 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)