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BLAKE HERSTINE MD
NPI 1952099897
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 28, 2023PECOS Enrolled
30 E APPLE ST FL 6, DAYTON, OH 45409(937) 208-2004 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Herstine Md NPPES

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

BLAKE HERSTINE MD (NPI 1952099897) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952099897
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE HERSTINECredential: MD
Location Address30 E APPLE ST FL 6Dayton, OH 45409-2939
Mailing Address30 E Apple St Fl 6Dayton, OH 45409-2939 · (937) 208-2004
Phone(937) 208-2004
Sole ProprietorNo
Enumeration DateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1952099897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 E APPLE ST FL 6, Dayton, OH 45409
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Herstine 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.

Other Providers at the Same Location NPPES 17

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

AQSA AHMED DO
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
DR. SAMUEL CORNWELL MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
DANIEL RAJAEE DO
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
LABEEB AHMAD MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
RABIYA JANDARAN MD
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
CHLOE SYNCLAIRE GROVE MD
Internal Medicine
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. ARHAM MOHD SIDDIQUI DO
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004
DR. MAMUR AHMED CHOWDHURY DO
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Montgomery County (937) 208-2004

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 Herstine's NPI number?

The NPI number for Blake Herstine is 1952099897. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Blake Herstine located?

Blake Herstine practices at 30 E Apple St Fl 6, Dayton, OH 45409. The listed phone number is (937) 208-2004.

What is Blake Herstine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blake Herstine enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Blake Herstine was last updated on April 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.