Individual provider Active NPI

Blake Hood, DO

  • Surgery Physician
  • Plymouth, IN
National Provider Identifier
1053730176
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02005665A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611001412 IN Practitioner - General Surgery 0042430118 Reassigns benefits to 3 organizations

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
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux21
Melanoma (skin cancer) excision1-10
Removal of tissue93
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jan 25, 2026 Accepting new patients
La Porte Clinic Company LLC CurrentSince Jul 1, 2019 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jan 25, 2026 Accepting new patients
La Porte Clinic Company LLC Surgery CurrentSince Jul 1, 2019 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc CurrentSince Feb 5, 2026 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Feb 5, 2026 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.

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": "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

Verify at the official NPI Registry.