Individual provider Active NPI

Peter Patrick Blakey, M.D.

  • Pediatrics Physician
  • Midlothian, VA
National Provider Identifier
1659385987
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101031853 Issued in VA
Practice address
13204 Hull Street Rd
Midlothian, VA 23112-2620
Phone
(804) 223-5437
Fax
(804) 999-0369
NPI assigned
Jul 29, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101031853 VA Primary

Addresses

Primary practice location

13204 Hull Street Rd
Midlothian, VA 23112-2620

Mailing address

13204 Hull Street Rd
Midlothian, VA 23112-2620
Phone (804) 223-5434

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slee@completecareforkids.ringrx.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101031853VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care for Kids Pediatrics CurrentSince Jul 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Complete Care for Kids Pediatrics Past Accepting new patients

Locations

13204 Hull Street Rd
Midlothian, VA 23112
Phone (804) 223-5437

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1659385987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122620",
            "telephone_number": "804-223-5434",
            "fax_number": "804-999-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13204 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122620",
            "telephone_number": "804-223-5437",
            "fax_number": "804-999-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEY",
        "first_name": "PETER",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101031853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slee@completecareforkids.ringrx.com",
            "affiliation": "N",
            "endpointDescription": "hipaa compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13204 Hull Street Rd",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231122620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.