Blake E. Nichols, M.D.
NPI 1144583469ActiveIndividual· Pediatrics, Pediatric Critical Care Medicine· Fort Worth, TX
Pediatrics, Pediatric Critical Care Medicine (M.D.) in Fort Worth, Texas, trained at University of Texas Southwestern Medical School at Dallas (class of 2012). Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1144583469 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2012 |
| Last updated in NPPES | Feb 23, 2023 |
| Certified by provider | Feb 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Pediatric Critical Care Medicine Primary | 2080P0203X | Q4480 | TX |
| Pediatrics | 208000000X | Q4480 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (TX) |
|---|
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Pediatric Medicine |
| Secondary specialties | Critical Care (Intensivists) |
Medical group
- Cook Childrens Physician NetworkFort Worth, TX · 315 clinicians
Hospital affiliation
- Cook Childrens Medical CenterFort Worth, TX
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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