BLAKE C. MORTENSON M.D. NPI 1427056860

NPI Information

  • NPI: 1427056860
  • Provider Name: BLAKE C. MORTENSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 N 500 E
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 716-1000

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NPI Details

Blake C. Mortenson, M.D. is a diagnostic radiology radiology in Logan, UT with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Blake C. Mortenson, M.D. NPI is 1427056860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1400 N 500 E
LOGAN, UT
ZIP 84341-455
Phone: (435) 716-1000

The NPI 1427056860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)

The enumeration date for this NPI number is 7/11/2005 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology48375961205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1118743100MEDICAIDWYOMING
2005546907MEDICARE PINUTAH
3806638500MEDICAIDIDAHO
4P00334655MEDICARE PINIDAHO
5D4474MEDICAIDUTAH
6G01709MEDICARE UPIN
71107470MEDICARE PINIDAHO
8P00023762MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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