Dr. Michael C Blakley Jr.

MD | Pediatric Rheumatology | Male

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Complete Profile:

Dr. Michael C Blakley Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Dr. Michael C Blakley Jr.
Credential :	MD
Gender :	Male

Business Address:

Dr. Michael C Blakley Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	705 Riley Hospital Dr, Rr 307 Indianapolis, IN, 46202-5109 United States
Phone Number :	317-274-2172
Fax Number :	317-278-3031

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1184607038
NPI Entity Type :	Individual
First Enrolment Date :	23 Nov, 2005
Last Updated On :	15 Dec, 2020

Medicare Participation:

Dr. Michael C Blakley Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7315010972
Medicare Enrollment ID :	I20080716000128
Primary Specialty :	Internal Medicine
Medical School :	University Of Tennessee, Hsc, College Of Medicine
Graduation Year :	2001
Accepts Medicare?	Yes. Dr. Michael C Blakley Jr. accepts medicare insurance.

Group Practice Association:

Dr. Michael C Blakley Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael C Blakley Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Diagnostic Associates Inc	3375446347	270	550 N University Blvd Indianapolis, IN - 462025149	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael C Blakley Jr. are as mentioned. Primary taxonomy code for Dr. Michael C Blakley Jr., MD is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	01060351A	IN
207RR0500X	Internal Medicine Rheumatology	No	01060351A	IN
208000000X	Pediatrics	No	01060351A	IN
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	01060351A	IN

Legacy Identifiers:

Other legacy medical identifiers of Dr. Michael C Blakley Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200903650	MEDICAID	IN
P01339696	Other	IN	RAILROAD MEDICARE

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	250 N Shadeland Ave Indianapolis, IN, 46219-4959 United States

Business Location:

Patients can refer following map for directions to Dr. Michael C Blakley Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.