Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Deidre Blake, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1336157015

Dr. Deidre Blake, MD is an Orthopedic Surgery in Ithaca, New York. Qualified in 2005, 21 years ago. Practices with Cayuga Medical Associates PC, a 277-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16 Brentwood Dr Ste A
Ithaca, NY 14850-1863
Phone: (607) 272-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 256896 (NY)

Record details

NPI number1336157015
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESSeptember 13, 2016
Mailing address16 Brentwood Dr, Suite A, Ithaca, NY 14850-1863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cayuga Medical Associates Pc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare