DR. MICHAEL AUSTIN BLAKE MD NPI 1871583039

NPI Information

  • NPI: 1871583039
  • Provider Name: DR. MICHAEL AUSTIN BLAKE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT ST
    ELL 2 RADIOLOGICAL ASSOCIATES
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-8763

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NPI Details

DR. Michael Austin Blake, MD is a diagnostic radiology radiology in Boston, MA with 35 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Austin Blake, MD NPI is 1871583039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT ST
ELL 2 RADIOLOGICAL ASSOCIATES
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-8763
Fax: (617) 726-4891

The NPI 1871583039 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • 3d radiographic procedure (HCPCS:76376)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound scan of transplanted kidney (HCPCS:76776)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • 3d radiographic procedure (HCPCS:76376)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of scrotum (HCPCS:76870)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/8/2007.

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 Radiology159745MASSACHUSETTSYes

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
1159745OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2J22412OTHERMASSACHUSETTSBCBS MA
3H15654MEDICARE UPIN
40100811MEDICAIDMASSACHUSETTS
5A31053MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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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