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DR. BLAKE GRUENBERG MD
NPI 1619404563
Pediatrics - Pediatric Emergency Medicine in Springdale, AR

Active since May 22, 2017PECOS Enrolled
97.12/100
CMS Quality Rating
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762(501) 364-3399 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2021, Feb 3, 2021, May 22, 2017 (3 updates tracked since 2017).

About Dr. Blake Gruenberg Md NPPES

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

DR. BLAKE GRUENBERG MD (NPI 1619404563) is an individual pediatric emergency medicine provider in Springdale, Arkansas, licensed in Tennessee (61422) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619404563
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. BLAKE GRUENBERGCredential: MD
Location Address2601 GENE GEORGE BLVDSpringdale, AR 72762-0845
Mailing Address1 Childrens Way # 844Little Rock, AR 72202-3500 · (501) 364-3399 · Fax (501) 364-3929
Phone(501) 364-3399
Sole ProprietorNo
Enumeration DateMay 22, 2017
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1619404563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TN · 61422
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2601 GENE GEORGE BLVD, Springdale, AR 72762
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13601 The Vanderbilt ClinicNashville, TN 37232-4637 · Phone (615) 322-3000
Location 21200 Childrens Ave Ste 14044Oklahoma City, OK 73104-4637 · Phone (918) 527-9401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Gruenberg 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Blake Gruenberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC
145 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
Arkansas Children's Medical Group PLLC
148 mi
Pediatrics
1 CHILDRENS WAY # 844
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Arkansas Childrens Medical Group PLLC
  • 36 clinicians in this Medicare group
NPI 1396274841 (501) 364-2090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

DR. ROBERT CATON BAKER MD
Anesthesiology (Pediatric Anesthesiology)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
ABIGAIL STOVER MS, RD, LD
Dietitian, Registered
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6909
JEFFREY DALE GRILLS MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977
DR. KELLY DAWN MATTIX MD
Surgery (Pediatric Surgery)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
MARY CATHERINE HOWELL AUD
Audiologist
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6904
DR. BRYCE ALSTON VANCE D.O.
Pediatrics (Adolescent Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 309-5391
CASIE MARIE JAMES MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6866
DR. SARAH MORRIS WESTON M.D.
Pediatrics (Pediatric Emergency Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977

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 Gruenberg's NPI number?

The NPI number for Blake Gruenberg is 1619404563. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Blake Gruenberg located?

Blake Gruenberg practices at 2601 Gene George Blvd, Springdale, AR 72762. The listed phone number is (501) 364-3399.

What is Blake Gruenberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Blake Gruenberg enrolled in Medicare?

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

Which organizations bill Medicare for Blake Gruenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Gruenberg reassigns Medicare benefits to 2 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and Arkansas Children's Medical Group PLLC (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Gruenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Gruenberg accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Blake Gruenberg 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 Blake Gruenberg was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.