Active NPI
Blake Hood, DO
- Surgery Physician
- Plymouth, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 02005665A
- Practice address
- 1919 Lake Ave Ste 104
Plymouth, IN 46563-7830 - Phone
- (574) 948-5170
- Fax
- (574) 948-5498
- NPI assigned
- Apr 16, 2014
- Last updated
- May 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 02005665A | IN | Primary |
Addresses
Primary practice location
1919 Lake Ave Ste 104
Plymouth, IN 46563-7830
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 948-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E Culver Rd
Knox, IN 46534-2216
Phone (574) 772-6231
104 E Culver Rd
Knox, IN 46534-2241
1331 State St
La Porte, IN 46350-3112
1509 State St
La Porte, IN 46350-3115
Phone (219) 326-5700
1919 Lake Ave
Plymouth, IN 46563-7830
Phone (574) 948-5170
402 W Culver Rd
Knox, IN 46534-2200
Phone (574) 772-7918
Hospital & facility affiliations
- Northwest Health-la Porte
- Saint Joseph Regional Medical Center - Plymouth
- Northwest Health - Starke
- Saint Joseph Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 35 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 21 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 93 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Surgery | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Porter Physician Services LLC | Past | Accepting new patients |
Locations
102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580
104 E Culver Rd
Ste 102
Knox, IN 46534
Phone (574) 772-1580
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
402 W Culver Rd
Knox, IN 46534
Phone (219) 772-7918
1331 State St
Ste 340
La Porte, IN 46350
Phone (219) 324-0875
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
1331 State St
Ste 310
Laporte, IN 46350
Phone (219) 326-2415
3777 N Frontage Rd
Ste 300
Michigan City, IN 46360
Phone (219) 379-3166
3777 N Frontage Rd
Ste 500
Michigan City, IN 46360
Phone (219) 809-2889
6923 W 400 N
Michigan City, IN 46360
Phone (219) 325-0604
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
8988 E US Highway 20
New Carlisle, IN 46552
Phone (574) 654-3002
1919 Lake Ave
Ste 104
Plymouth, IN 46563
Phone (574) 948-5170
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Organizations & group practices 8
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.
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
dba La Porte Physician Network Ophthalmology Care
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1275081788
-
- Critical Care Medicine (Internal Medicine) Physician
- Mishawaka, IN
- NPI 1699132365
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1053730176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5215 HOLY CROSS PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451469",
"telephone_number": "574-948-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 LAKE AVE STE 104",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637830",
"telephone_number": "574-948-5170",
"fax_number": "574-948-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "BLAKE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02005665A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.