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

Trystan Blake, DO

Individual provider Family Medicine Physician · NPI 1275114753

Trystan Blake, DO is a Family Practice in Middletown, New York. Qualified in 2021, 5 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 82 S 1100 E Ste 403, Salt Lake City, UT 84102-1892 — (801) 505-5299

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13772735-1204 (UT)

Record details

NPI number1275114753
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 16, 2021
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address707 E Main St, Middletown, NY 10940-2650

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Middletown