Blake Gordon Phipps, M.D.
Individual provider Active NPI Family Medicine Physician · Lawrence, KS
NPI 1689084477 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1689084477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0441094 (KS)
- Practice address
- 4951 W 18TH St
Lawrence, KS 66047 - Phone
- (785) 841-6540
- Fax
- (785) 841-3305
- NPI assigned
- May 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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 PA
Practice addresses (Care Compare)
4951 W 18TH St
Lawrence, KS 66047-2090
Phone (785) 832-2865
Hospital & facility affiliations
- Faith Home Health
- Visiting Nurses Association (Vna)
- LMH
- Miami County Medical Center
- F W Huston Medical Center
- Amberwell Atchison Association
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180808000708 | KS | Practitioner - Family Practice | 8022309053 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0441094 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amberwell Atchison Association | Single Specialty | Current |
Accepting new patients |
| Jefferson County Memorial Hospital, Inc | Single Specialty | Current |
Accepting new patients |
| Amberwell Atchison Association | Single Specialty | Current |
Accepting new patients |
| Amberwell Atchison Association | Current |
Accepting new patients | |
| Jefferson County Memorial Hospital | Current |
Accepting new patients | |
| Jefferson County Memorial Hospital, Inc | Current | Accepting new patients |
Locations
810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300
800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131
311 W Locust St
Troy, KS 66087
Phone (785) 985-3504
408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449
Interoperability endpoints
- bphipps153145@direct.kuha.org
- blakephipps@lfpcpa.allscriptsdirect.net
- blake.phipps.1@6815.direct.athenahealth.com
- blake.phipps.1@11418.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 0441094 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201205020A | Medicaid | KS | |
| 30004601610001 | Medicaid | KS | |
| 16289134 | Other | KS | PTAN |
| 200155510 | Medicaid | MO |
Other providers in Lawrence, KS
- Van Phan
- Meg Phelan
- Sara Phelps
- Shirene Philipose
- Jaime Ann Phillips
- Bradley G. Phipps
- Carla B Phipps
- Jordan Phipps
- Deloris Pietzsch
- Kathryn L. Pike
All providers in Lawrence, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.