Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DOUGLAS ANTHONY BLAKELY CAA
NPI 1952994071
Anesthesiologist Assistant in Indianapolis, IN

Q: What is Douglas Blakely's NPI number?

The NPI number for Douglas Blakely is 1952994071. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Q: What is Douglas Blakely's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Blakely was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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 February 19, 2021Accepts Medicare Assignment

1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(317) 962-8880 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Dec 20, 2021, Feb 19, 2021 (3 updates tracked since 2021).

On this page

About Mr. Douglas Anthony Blakely Caa NPPES

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

MR. DOUGLAS ANTHONY BLAKELY CAA (NPI 1952994071) is an individual anesthesiologist assistant in Indianapolis, Indiana, licensed in Indiana (75000252A) and active in the NPI registry since February 2021. He is affiliated with Baptist Health Medical Center - Jacksonville, maintains a secondary practice location in Washington, and is a graduate of Case Western University School Of Dental Medicine (2021).

NPPES Registry Identity

NPI1952994071

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. DOUGLAS ANTHONY BLAKELYCredential: CAA

Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 962-8880

Sole ProprietorNo

Medical School CMSCase Western University School Of Dental MedicineGraduated 2021

Enumeration DateFebruary 19, 2021

Last NPPES UpdateJune 24, 20263 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1952994071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Licenses✔ Licensed in IN · 75000252A✔ Licensed in DC · AA2000013✔ Licensed in FL · AA942

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1701 N SENATE BLVD, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1900 23rd St NWWashington, DC 20037-2342 · Phone (202) 715-4750

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. Douglas Anthony Blakely Caa 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 ID2961893086

PECOS Enrollment IDI20241009001408

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

14 services14 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

13 services13 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

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.

THOMAS M DONAHUE MD

Anesthesiology

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 577-4200

DR. GINA MARIE DIANTONIO SWARTZEL M.D.

Emergency Medicine

1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202

Marion County (317) 962-5975

NASER A KAFEEL DO

Internal Medicine

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 962-8776

ZACHARY JARRETT DO

Internal Medicine (Critical Care Medicine)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 962-5820

BARBRA A BACHMEIER NP

Nurse Practitioner (Family)

1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202

Marion County (317) 962-3886

MARK H HOYER MD

Pediatrics (Pediatric Cardiology)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (317) 678-3900

SHALINI K MANCHANDA MD

Internal Medicine (Sleep Medicine)

1701 N SENATE BLVD
INDIANAPOLIS, IN 46202

Marion County (888) 484-3258

SEAN DAVID GUSSICK MD

Radiology (Diagnostic Radiology)

1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202

Marion County (317) 962-5740

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 Douglas Blakely's NPI number?

The NPI number for Douglas Blakely is 1952994071. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Douglas Blakely located?

Douglas Blakely practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 962-8880.

What is Douglas Blakely's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Douglas Blakely enrolled in Medicare?

Yes. Douglas Blakely 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.

Is Douglas Blakely affiliated with any hospitals?

According to CMS data, Douglas Blakely is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Douglas Blakely was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.