Individual provider Active NPI

Andrew Blakley

  • Internal Medicine Physician
  • Somerset, KY
National Provider Identifier
1255790051
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04364 Issued in KY
Practice address
350 Hospital Way
Suite 101
Somerset, KY 42503-2872
Phone
(606) 451-5093
NPI assigned
Feb 22, 2016
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04364 KY Primary

Addresses

Primary practice location

350 Hospital Way
Suite 101
Somerset, KY 42503-2872

Mailing address

350 Hospital Way
Suite 101
Somerset, KY 42503-2872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20190806004350 KY Practitioner - HospitalistPractitioner - Internal Medicine 3678800182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Lincoln Memorial University Medical Department, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group Kentucky PSCGroup PAC ID 8820164411, 30 clinicians

Practice addresses (Care Compare)

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-2994

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
79.69
Improvement activities
40
Cost
72.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Kentucky PSC CurrentSince Jul 1, 2019 Accepting new patients
Lake Cumberland Regional Hospital LLC Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

Organizations & group practices 2

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 2

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1255790051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY",
            "address_2": "SUITE 101",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032872",
            "telephone_number": "606-451-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.