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

Kenneth D Blake, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1174622070

Kenneth D Blake, MD is a Colorectal Surgery (Proctology) in Lone Tree, Colorado. Graduated from Johns Hopkins University School of Medicine in 1986, 40 years ago. Practices with Surgone PC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
40
Trained at
Johns Hopkins University School of Medicine
Licensed in
CO
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

10103 Ridgegate Pkwy Ste 208
Lone Tree, CO 80124-5520
Phone: (303) 535-5350
Fax: (303) 535-5353
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 41202 (CO)

Record details

NPI number1174622070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023
Mailing address8490 E Crescent Pkwy Ste 380, Greenwood Village, CO 80111-2815

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Surgone Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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