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

Dr. Roger Alan Blake, MD

Individual provider Specialist · NPI 1023049335

Dr. Roger Alan Blake, MD is a General Surgery in Cleveland, Mississippi. Graduated from University of Miami, Lm Miller School of Medicine in 1994, 32 years ago. Practices with Medical Foundation Inc, a 202-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Mississippi.

Years since qualifying
32
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
ID, MS
In the registry since
2006
Specialties on file
2
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

907 E Sunflower Rd 101
Cleveland, MS 38732-2830
Phone: (662) 846-8880
Fax: (662) 846-8886
Show map & directions

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

Additional practice locations (1)

  • 999 N Curtis Rd Ste 415, Boise, ID 83706-1334 — (208) 302-2600

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence MC-2670 (ID)
Specialist Taxonomy 174400000X · Licence 16881 (MS)

Record details

NPI number1023049335
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing address907 E Sunflower Rd, 101, Cleveland, MS 38732-2830

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Medical Foundation Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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