Individual provider Active NPI

Blake Thomas Daney, M.D.

  • Orthopaedic Surgery Physician
  • Centerville, OH
National Provider Identifier
1023376845
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.134467 Issued in OH
Practice address
6438 Wilmington Pike Ste 220
Centerville, OH 45459-7021
Phone
(937) 433-5309
Fax
(937) 433-1150
NPI assigned
Apr 30, 2012
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.134467 OH Primary

Addresses

Primary practice location

6438 Wilmington Pike Ste 220
Centerville, OH 45459-7021

Mailing address

6438 Wilmington Pike Ste 220
Centerville, OH 45459-7021
Phone (937) 433-5309

Other practice location 1

400 Wabash Ave
Akron, OH 44307-2433
Phone (330) 344-7000

Other practice location 2

3737 Southern Blvd Ste 2100
Kettering, OH 45429
Phone (937) 433-5309

Other identifiers 1

IdentifierTypeStateIssuer
0305102MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bdaney635571@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003289 OH Practitioner - Orthopedic Surgery 4688813785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.134467OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc Orthopaedic Surgery CurrentSince Dec 29, 2022 Accepting new patients

Locations

6438 Wilmington Pike
Ste 220
Dayton, OH 45459

3737 Southern Blvd
Ste 2100
Kettering, OH 45429
Phone (937) 294-1632

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

4000 Miamisburg Centerville Rd
Ste 230
Miamisburg, OH 45342

825 N Main St
Ste 130
Springboro, OH 45066
Phone (937) 401-7583

Interoperability endpoints

  • Direct secure messaging: bdaney635571@direct.ketteringhealth.org

Organizations & group practices 1

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1023376845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE STE 220",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597021",
            "telephone_number": "937-433-5309",
            "fax_number": "937-433-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE STE 220",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597021",
            "telephone_number": "937-433-5309",
            "fax_number": "937-433-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072433",
            "country_code": "US",
            "telephone_number": "330-344-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Southern Blvd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "45429",
            "country_code": "US",
            "telephone_number": "937-433-5309",
            "fax_number": "937-298-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANEY",
        "first_name": "BLAKE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.134467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305102",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdaney635571@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike Ste 220",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6438 Wilmington Pike Ste 220",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454597021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.