NPIMap

Individual provider Active NPI

Blake Evans, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1003445115
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60610 Issued in KY
Practice address
120 Executive Park
Louisville, KY 40207-4201
Phone
(502) 855-7200
Fax
(502) 855-7201
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 60610 KY
Interventional Pain Medicine Physician 208VP0014X 01096300A IN
Anesthesiology Physician 207L00000X 60610 KY Primary

Addresses

Primary practice location

120 Executive Park
Louisville, KY 40207-4201

Mailing address

PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356

Other practice location 1

4420 Dixie Hwy Ste 107
Louisville, KY 40216-2986
Phone (502) 855-7200

Other practice location 2

3602 Northgate Ct Ste 39
New Albany, IN 47150-6438
Phone (812) 670-5684

Other practice location 3

1107 Crown Pointe Dr Ste 107
Elizabethtown, KY 42701-7280
Phone (270) 506-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250410001868 KY Practitioner - Anesthesiology 6709200850 Reassigns benefits to 1 organization
I20250417003228 IN Practitioner - Pain Management 6709200850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

3602 Northgate CT
Suite 39
New Albany, IN 47150-6417
Phone (812) 670-5684

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01096300AINMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

3602 Northgate Ct
Ste 39
New Albany, IN 47150
Phone (812) 670-5684

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: blake.evans.1@16521.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1003445115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21890",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154115",
            "telephone_number": "502-907-0356",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074201",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Dixie Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162986",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3602 Northgate Ct Ste 39",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506438",
            "country_code": "US",
            "telephone_number": "812-670-5684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Crown Pointe Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427017280",
            "country_code": "US",
            "telephone_number": "270-506-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BLAKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "60610",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01096300A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "60610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.