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JENNIFER MARIE BLAKE MD
NPI 1891952370
Pediatrics - Pediatric Cardiology in Detroit, MI

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
3901 BEAUBIEN ST, CHILDRENS HOSPITAL OF MI 4TH FL, DETROIT, MI 48201(313) 745-5484(313) 966-2423 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Marie Blake Md NPPES

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

JENNIFER MARIE BLAKE MD (NPI 1891952370) is an individual pediatric cardiology provider in Detroit, Michigan, licensed in Michigan (4301090782) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Children's Hospital Of Michigan, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2002).

NPPES Registry Identity

NPI1891952370
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameJENNIFER MARIE BLAKECredential: MD
Location Address3901 BEAUBIEN ST, CHILDRENS HOSPITAL OF MI 4TH FLDetroit, MI 48201-2119
Mailing Address4201 Saint Antoine St, Uhc 5d - Mailbox 226 University PediatriciansDetroit, MI 48201-2153 · (313) 745-4405 · Fax (313) 966-0665
Phone(313) 745-5484
Fax(313) 966-2423
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2002
Enumeration DateMay 21, 2008
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1891952370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MI · 4301090782
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3901 BEAUBIEN ST, Detroit, MI 48201
Open in Google Maps ↗

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

Jennifer Marie 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 ID7214061878
PECOS Enrollment IDI20100818000230
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Children's Hospital Of Michigan

Childrens · Detroit, MI
OwnershipProprietary
CMS Certification Number233300
Location3901 Beaubien StreetDetroit, MI 48201 · Wayne County
Emergency services

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.

KAROLINA MAKSIMOWSKI
Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5260
NUTRENA TATE CNP
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5437
DR. RUPA THACKER M.D
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5533
SYBRENA EVANS
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 833-4490
JOSHUA KIM DO
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 745-5870
HANNAH L MORELLO MSN, RN
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (543) 731-3745
ERIC MARC ESHMAN PHARM.D.
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (313) 966-0414
KELLY HOLZHAUSEN
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Wayne County (734) 552-5323

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 Jennifer Blake's NPI number?

The NPI number for Jennifer Blake is 1891952370. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Jennifer Blake located?

Jennifer Blake practices at 3901 Beaubien St Childrens Hospital Of Mi 4th Fl, Detroit, MI 48201. The listed phone number is (313) 745-5484.

What is Jennifer Blake's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jennifer Blake enrolled in Medicare?

Yes. Jennifer Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Blake accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jennifer Blake 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.

Is Jennifer Blake affiliated with any hospitals?

According to CMS data, Jennifer Blake is affiliated with Children's Hospital Of Michigan.

When was this NPI record last updated?

The NPPES record for Jennifer Blake was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.