Blake Kandah, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

DR.0065176 Issued in CO

Practice address

1400 S Potomac St Ste 150
Aurora, CO 80012-4541

Phone

(720) 476-3421

Fax

(720) 502-5271

NPI assigned

Apr 2, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management

Education

George Washington University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mile High Sports and Rehabilitation Medicine, PCGroup PAC ID 3779508551, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Mile High Sports and Rehabilitation Medicine, PC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
  • NPI 1427243146
  Medicare reassignment Care Compare group NPD
• Catherine D Carretero MD PC

  • Dermatology Physician
  • Denver, CO
  • NPI 1245409630
  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1619362084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124541",
            "telephone_number": "720-307-7246",
            "fax_number": "720-502-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124541",
            "telephone_number": "720-476-3421",
            "fax_number": "720-502-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAH",
        "first_name": "BLAKE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OR",
            "license": "MD192439",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CO",
            "license": "DR.0065176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Kamuchey, D.C.
• Kan Di Ki, LLC
• Susan K. Kanai, P.T.
• Amy Suzanne Kanallakan, M.D.
• Lynn Kanan, RN
• Christopher Brendan Kane, RBT
• Elizabeth Fitzgerald Kane, PNP
• Madeleine A. Kane, M.D.
• Francis Kang, M.D.
• Ji Hyun Kang

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.