MR. BLAKE WILLIAM BADILLO
NPI 1538052246
Nurse Practitioner - Family in Montgomery, AL

Q: What is Blake Badillo's NPI number?

The NPI number for Blake Badillo is 1538052246. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Q: What is Blake Badillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Badillo was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment

488 SAINT LUKES DR, MONTGOMERY, AL 36117(334) 288-7808 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2025, Jun 2, 2025 (2 updates tracked since 2025).

On this page

About Mr. Blake William Badillo NPPES

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

MR. BLAKE WILLIAM BADILLO (NPI 1538052246) is an individual family provider in Montgomery, Alabama, licensed in Alabama (3-002374) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1538052246

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. BLAKE WILLIAM BADILLO

Location Address488 SAINT LUKES DRMontgomery, AL 36117-7104

Mailing Address201 Defense Hwy Ste 205Annapolis, MD 21401-7096

Phone(334) 288-7808

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 2, 2025

Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2025

✔ NPI 1538052246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 3-002374

488 SAINT LUKES DR, Montgomery, AL 36117

Open in Google Maps ↗

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

Mr. Blake William Badillo 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 ID42700239

PECOS Enrollment IDI20251106001889

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 36117 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

MRS. KATELYN PERRY BARNES NP-C, FNP

Nurse Practitioner