BLAKE ALEXANDER WEIS M.D. NPI 1801236617

NPI Information

  • NPI: 1801236617
  • Provider Name: BLAKE ALEXANDER WEIS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 611 W PARK ST
    URBANA, IL
    ZIP 61801
  • Phone: (217) 383-3311

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NPI Details

Blake Alexander Weis, M.D. is a diagnostic radiology radiology in Urbana, IL with 12 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Blake Alexander Weis, M.D. NPI is 1801236617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

611 W PARK ST
URBANA, IL
ZIP 61801
Phone: (217) 383-3311

The NPI 1801236617 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.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 6/26/2013 and was last updated on 12/4/2019.

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 Radiology036150541ILLINOISYes
2207R00000XInternal Medicine2013018930MISSOURINo
3207R00000XInternal Medicine2014034042MISSOURINo
42085R0202XRadiologyDiagnostic Radiology2014034042MISSOURINo
5390200000XStudent in an Organized Health Care Education/Training Program61241CONNECTICUTNo

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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