Individual provider Active NPI

Blake Gordon Phipps, M.D.

  • Family Medicine Physician
  • Lawrence, KS
National Provider Identifier
1689084477
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0441094 Issued in KS
Practice address
4951 W 18TH St
Lawrence, KS 66047
Phone
(785) 841-6540
Fax
(785) 841-3305
NPI assigned
May 1, 2014
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0441094 KS Primary

Addresses

Primary practice location

4951 W 18TH St
Lawrence, KS 66047

Mailing address

4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 841-6540

Other practice location 1

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180808000708 KS Practitioner - Family Practice 8022309053 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence Family Practice Center PAGroup PAC ID 8426021684, 9 clinicians

Practice addresses (Care Compare)

4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 832-2865

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0441094KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Jefferson County Memorial Hospital, Inc Current Accepting new patients
Amberwell Atchison Association Single Specialty CurrentSince Aug 5, 2024 Accepting new patients
Amberwell Atchison Association CurrentSince Aug 5, 2024 Accepting new patients
Jefferson County Memorial Hospital, Inc Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Amberwell Atchison Association Single Specialty CurrentSince Oct 22, 2025 Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449

Interoperability endpoints

  • Direct secure messaging: blake.phipps.1@11418.direct.athenahealth.com
  • Direct secure messaging: blake.phipps.1@6815.direct.athenahealth.com
  • Direct secure messaging: blakephipps@lfpcpa.allscriptsdirect.net
  • Direct secure messaging: bphipps153145@direct.kuha.org

Organizations & group practices 7

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 6

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": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1689084477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472090",
            "telephone_number": "785-841-6540",
            "fax_number": "785-841-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66047",
            "telephone_number": "785-841-6540",
            "fax_number": "785-841-3305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "BLAKE",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0441094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.