Active NPI
James Steven Blake, DO
- Gastroenterology Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E-19961
- Practice address
- 1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964 - Phone
- (870) 541-7201
- Fax
- (870) 541-7202
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
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.
-
- Pulmonary Disease Physician
- Pine Bluff, AR
- NPI 1932157674
AR, Gastroenterology
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1386729705
PA
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
-
- Ambulatory Surgical Clinic/Center
- Philadepphia, PA
- NPI 1659457760
-
- Specialist
- Philadelphia, PA
- NPI 1437363512
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
-
- Cardiovascular Disease Physician
- Pine Bluff, AR
- NPI 1174542906
-
- Obstetrics & Gynecology Physician
- Pine Bluff, AR
- NPI 1669851929
-
- Rural Health Clinic/Center
- Monticello, AR
- NPI 1821749946
-
- Clinic/Center
- Pine Bluff, AR
- NPI 1841235868
-
- Orthopaedic Surgery Physician
- Pine Bluff, AR
- NPI 1275841306
-
- Clinic/Center
- White Hall, AR
- NPI 1306097365
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Philadelphia College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Hospital Association, Inc
Practice addresses (Care Compare)
1801 W 40TH Ave
Suite 7B
Pine Bluff, AR 71603-6964
Phone (870) 541-7201
Hospital & facility affiliations
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000284 | PA | Practitioner - Gastroenterology | 1254350473 | Reassigns benefits to 1 organization |
| I20251121003741 | AR | Practitioner - Gastroenterology | 1254350473 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-19961 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Airy Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Gastroenterology | Current | Accepting new patients |
| Mt Airy Ambulatory Endoscopy Surgery Center | Current | Accepting new patients | |
| Liberty Anesthesia Associates, P. C. | Past | Accepting new patients |
Locations
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188
1801 W 40th Ave
Ste 7B
Pine Bluff, AR 71603
Phone (870) 535-2716
6827 Germantown Ave
Philadelphia, PA 19119
Phone (215) 849-4902
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E-19961 | AR | Primary |
| Internal Medicine Physician | 207R00000X | OS007404E | PA |
Addresses
NPPES NPI RegistryPrimary practice location
1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964
Mailing address
1801 W 40TH Ave Ste 7B
Pine Bluff, AR 71603-6964
Phone (870) 541-7201
Other identifiers 10
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2309047000 | Other | PA | PERSONAL CHOICE |
| 1037069 | Other | PA | KMHP |
| 163083 | Other | PA | BLUE CROSS BLUE SHIELD |
| 2309047000 | Other | PA | KHPE |
| 01461503 | Other | PA | AMERICHOICE |
| 1468415 | Medicaid | PA | |
| 16956 | Other | PA | HEALTH PARTNERS |
| 1777074 | Other | PA | UNITED |
| 2126753 | Other | PA | AETNA |
| 2363719001 | Other | PA | CIGNA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 20, 2026.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1720176381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W 40TH AVE STE 7B",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036964",
"telephone_number": "870-541-7201",
"fax_number": "870-541-7202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W 40TH AVE STE 7B",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036964",
"telephone_number": "870-541-7201",
"fax_number": "870-541-7202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "JAMES",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E-19961",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS007404E",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2309047000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KMHP",
"identifier": "1037069",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "163083",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KHPE",
"identifier": "2309047000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "01461503",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1468415",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "16956",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "1777074",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2126753",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2363719001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.