Blake Vincent Conklin, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0538349 Issued in KS

Practice address

330 Arkansas St
Suite 202
Lawrence, KS 66044-1335

Phone

(785) 505-2200

Fax

(785) 505-5237

NPI assigned

Jun 16, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

General Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• LMH Hospital, Lawrence, KS, CCN 170137

Merit-based Incentive Payment System (MIPS)

Final score

87.1 of 100Reported as group

Quality

79.76

Promoting interoperability

99

Improvement activities

40

Cost

78.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blake.conklin@khindirect.org
• Direct secure messaging: blake.conklin@direct.lmh.org

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.

• Lawrence Physicians LLC

  • Hospitalist Physician
  • Lawrence, KS
  • NPI 1841607090
  Medicare reassignment Care Compare group NPD
• Lawrence Physicians LLC

  • Surgery Physician
  • Lawrence, KS
  • NPI 1528603719
  NPD
• Lawrence Physicians LLC

  • Specialist
  • Lawrence, KS
  • NPI 1871986570
  NPD
• The Internal Medicine Group PA

  • Internal Medicine Physician
  • Lawrence, KS
  • NPI 1235136714
  NPD (past)

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

• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422
  Care Compare affiliation

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1124255245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-505-2200",
            "fax_number": "785-505-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-505-2200",
            "fax_number": "785-505-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "BLAKE",
        "middle_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0538349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blake.conklin@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "330 Arkansas St",
            "address_2": "Suite 202",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Community Living Opportunities, Inc
• Compass Clinical and Consultation Services LLC
• Darcy L Conaway, MD
• Vicki Annette Condra-Williams, LCPC
• Britani L Congleton, PA-C
• Connections Chlid and Family Therapy
• Sheila Connolly, RPH
• Shannon Conover, LMSW
• Bradley Todd Cook, LMSW
• Brianne J. Cook, P.A.-C

• Surgery Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.