Blake Anderson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009013290 Issued in MO

Practice address

1344 Red Oak Plantation Dr
Ballwin, MO 63021-7346

Phone

(314) 591-3417

NPI assigned

Nov 22, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Texas Medical School at San Antonio, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Valley Memorial Hospital DistrictGroup PAC ID 4688561814, 138 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Golden Valley Memorial Hospital District

  dba Golden Valley Medical - Clinton

  • Rural Health Clinic/Center
  • Clinton, MO
  • NPI 1003873266
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955

  Emergency Medicine

  Medicare reassignment NPD
• Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
  • NPI 1285676932
  Medicare reassignment NPD
• Golden Valley Memorial Hospital District

  dba GVMH Medical East

  • Clinic/Center
  • Clinton, MO
  • NPI 1396379830
  NPD
• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  NPD
• Mercy Hospital Aurora

  • Medicare Defined Swing Bed Hospital Unit
  • Aurora, MO
  • NPI 1295878981
  NPD
• Mercy Hospital Cassville

  • Medicare Defined Swing Bed Hospital Unit
  • Cassville, MO
  • NPI 1154535342
  NPD
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Farmington, MO
  • NPI 1396760062
  NPD (past)
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD (past)
• Compass Health, Inc.

  dba Pathways Community Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Saint Charles, MO
  • NPI 1083033591
  NPD (past)
• Hospitalmd of Troy Ip, Inc.

  • Hospitalist Physician
  • Troy, MO
  • NPI 1548582778
  NPD (past)

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

• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1093798134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 RED OAK PLANTATION DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217346",
            "telephone_number": "314-591-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 RED OAK PLANTATION DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217346",
            "telephone_number": "314-591-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2009013290",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009013290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE PLUS",
            "identifier": "67Q18AN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP30702",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150459",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA",
            "identifier": "7291",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "MH9041023739",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "1019018",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16690100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLANS",
            "identifier": "21955",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "01-13048",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A035",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093798134",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alpha Analytical Technology Inc
• Alpine Home Health Agency, Inc.
• Daniel Peter Alyea, MD
• Maryjane Amad, PTA
• Amanda J. Darling, D.D.S., P.C. (Legacy Dental Care)
• Andrew Y. Chao, Inc
• Anns Dream Health Care LLC
• Jennifer Anne Anthony, PT
• Apex Physical Therapy, LLC
• Apex Physical Therapy, LLC (ApexNetwork Physical Therapy)

• Family Medicine Physician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.