Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Blake Anderson, M.D.

Family Medicine Physician in Ballwin, MO · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093798134

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Blake Anderson

Credential M.D.

Sex Male

Practice address 1344 Red Oak Plantation Dr, Ballwin, MO, 63021

Phone (314) 591-3417

Enumeration date Nov 22, 2005

Last updated in NPPES Apr 8, 2014

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2009013290 (MO) Primary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License 2009013290 (MO) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
01-13048	Other	MN	MEDICA
MH9041023739	Other	MN	PREFERRED ONE
1093798134	Medicaid	MO	-
150459	Medicaid	MN	-
67Q18AN	Other	MN	BLUE CROSS/BLUE PLUS
A035	Other	MN	CHAMPUS
16690100	Medicaid	MN	-
1019018	Other	MN	ARAZ
7291	Other	MN	AVERA
21955	Other	MN	SIOUX VALLEY HEALTH PLANS
HP30702	Other	MN	HEALTHPARTNERS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Blake Anderson?

Blake Anderson is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-08.