BLAKE A JOHNSON MD NPI 1811964174

NPI Information

  • NPI: 1811964174
  • Provider Name: BLAKE A JOHNSON, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5775 WAYZATA BLVD
    STE 190
    ST LOUIS PARK, MN
    ZIP 55416
  • Phone: (952) 541-1840

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NPI Details

Blake A Johnson, MD is a diagnostic radiology radiology in St Louis Park, MN with 40 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Blake A Johnson, MD NPI is 1811964174. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1986

The provider's business location address is:

5775 WAYZATA BLVD
STE 190
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 541-1840
Fax: (952) 513-6880

The NPI 1811964174 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.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of lower spine with contrast (HCPCS:72132)

The enumeration date for this NPI number is 3/7/2006 and was last updated on 2/17/2012.

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 Radiology39490MINNESOTAYes

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
1300001387MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
2205022600MEDICAIDMINNESOTA
3F69394MEDICARE UPIN

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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