Individual provider Active NPI

Blake R Nestok, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Cincinnati, OH
National Provider Identifier
1952391252
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35063456 Issued in OH
Practice address
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone
(513) 585-7600
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35063456 OH Primary

Addresses

Primary practice location

2139 Auburn Ave
Cincinnati, OH 45219-2906

Mailing address

PO Box 631104
Cincinnati, OH 45263-1104
Phone (800) 365-3744

Other identifiers 4

IdentifierTypeStateIssuer
0886402MedicaidOH
64930233MedicaidKY
200002650BMedicaidIN
000000015570OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100303000295 OH Practitioner - Pathology 8921143892 Reassigns benefits to 1 organization
I20100330001228 IN Practitioner - Pathology 8921143892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Cincinnati Pathologists IncGroup PAC ID 9032011630, 20 clinicians

Practice addresses (Care Compare)

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2000

321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329
  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063456OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Cincinnati Pathologists, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 1995 Accepting new patients
University of Cincinnati Physicians Company, LLC Past Accepting new patients
Greater Cincinnati Pathologists, Inc. Past Accepting new patients
Academic Pathology Associates Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

425 Home St
Georgetown, OH 45121
Phone (937) 378-6121

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1952391252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631104",
            "telephone_number": "800-365-3744",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 AUBURN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-585-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTOK",
        "first_name": "BLAKE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35063456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886402",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64930233",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002650B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000015570",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.