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Active NPI 1104883123 Individual Practitioner Male Practitioner

Dr. Douglas Blake , MD

Anesthesiology • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Blake, MD is a registered healthcare professional specializing in Anesthesiology in Providence, RI. Practice services are available at 591 EDDY ST under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

591 Eddy St
Dept Of Anesthesia

Providence, RI 029034922

Telephone 4014442284
Fax 4014445083
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.6 Yrs
State Avg: 29.7 Yrs
Regional Practice Density
128 Specialists

Practicing in Providence, RI (177 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope
17 17 $1485.29 $147.63

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License RI RI8815

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DB12516 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Maureen Adams , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083834782

Certified Registered Nurse Anesthetist

Donna Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093773434

Certified Registered Nurse Anesthetist

Dr. Nancy Stein , MD

Anesthesiology

NPI 1144287244

Doctor of Medicine (M.D.)

NPI 1194863241

Doctor of Medicine (M.D.)

Cheryl Nimmo , CRNA

Nurse Anesthetist, Certified Registered

NPI 1194884734

Certified Registered Nurse Anesthetist

Laura Turini , CRNA

Nurse Anesthetist, Certified Registered

NPI 1265600092

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2016

Registered at 591 EDDY ST, DEPT OF ANESTHESIA, PROVIDENCE, RI 029034922 (Tel: 4014442284)

📍
Updated Business Mailing Address April 15, 2016

Registered at 690 CANTON ST, STE 325, WESTWOOD, MA 020902324 (Tel: 7814077713)

👤
Provider Name / Credentials Updated April 15, 2016

Recorded as DOUGLAS BLAKE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2016

Anesthesiology (License #RI8815 in RI)

🟢
Initial NPI Registration & Enumeration April 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104883123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

690 Canton St, Ste 325

Westwood, MA 020902324

Phone: 7814077713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.