Individual provider Active NPI

Blake Christian Leche, M.D.

  • Anesthesiology Physician
  • Anderson, SC
National Provider Identifier
1770512972
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
31430 Issued in SC
Practice address
100 Perpetual SQ
Anderson, SC 29621-1713
Phone
(864) 635-0376
Fax
(864) 442-6848
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036115940 IL
Pain Medicine Physician 208VP0000X 31430 SC
Anesthesiology Physician 207L00000X 31430 SC Primary

Addresses

Primary practice location

100 Perpetual SQ
Anderson, SC 29621-1713

Mailing address

PO Box 1315
Easley, SC 29641-1315
Phone (864) 635-0376

Other identifiers 1

IdentifierTypeStateIssuer
314305MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090721000609 SC Practitioner - AnesthesiologyPractitioner - Pain Management 4082618475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Texas Medical School at San Antonio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CSP Enterprises LLCGroup PAC ID 3072949320, 12 clinicians

Practice addresses (Care Compare)

115 Brushy Creek Rd
Easley, SC 29642-1120
Phone (864) 635-0376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CSP Enterprises LLC Anesthesiology CurrentSince Dec 15, 2019 Accepting new patients
Carolina Spine Pain LLC Pain Medicine CurrentSince Dec 5, 2021 Accepting new patients
Emergency Physician Services Past Accepting new patients
Anesthesia Specialties Alliance, S.C. Anesthesiology Past Accepting new patients
Oconee Medical Center Past Accepting new patients
Interventional Pain Management Associates, LLC Interventional Pain Medicine Past Accepting new patients
Spectrum Anesthesia Services, SC Anesthesiology PastSince Apr 1, 2008 Accepting new patients

Locations

100 Perpetual Sq
Anderson, SC 29621
Phone (864) 261-7474

718 Lafayette Ave
Camden, SC 29020
Phone (803) 424-5879

1923 E Main St
Duncan, SC 29334
Phone (864) 635-0376

115 Brushy Creek Rd
Easley, SC 29642
Phone (864) 635-0376

11 Memorial Medical Dr
Greenville, SC 29605
Phone (864) 269-0404

321 S Lake Dr
Lexington, SC 29072
Phone (803) 359-9911

100 W Liberty St
Sumter, SC 29150
Phone (803) 773-0032

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1770512972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296411315",
            "telephone_number": "864-635-0376",
            "fax_number": "864-422-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PERPETUAL SQ",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211713",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHE",
        "first_name": "BLAKE",
        "middle_name": "CHRISTIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036115940",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "31430",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "31430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314305",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.