Blake Anderson, DO
NPI 1063271641 · Student in an Organized Health Care Education/Training Program · Saint Louis, MO
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blake Anderson, DO is a Student in an Organized Health Care Education/Training Program provider in Saint Louis, MO (NPI 1063271641).
Provider details
- NPI number
- 1063271641
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- MRO-2400 (ID)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3100 Channing WayIdaho Falls, ID 83404-7533Phone: (208) 227-2850
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Frequently asked questions
- What is Blake Anderson's NPI number?
- Blake Anderson's National Provider Identifier (NPI) is 1063271641, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Anderson's specialty?
- Blake Anderson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Blake Anderson located?
- Blake Anderson's practice location on file with NPPES is 1402 S Grand Blvd # M260, Saint Louis, MO 63104-1004.
- What is Blake Anderson's phone number?
- The practice phone number listed in the NPPES registry for Blake Anderson is (618) 210-5609.
- Does Blake Anderson accept Medicare?
- Blake Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blake Anderson's NPI active?
- Yes — Blake Anderson's NPI (1063271641) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.