DR. BLAKE JEFFREY MCKINLEY DO - NPI 1053057463 - Internal Medicine in Salt Lake City, UT

Q: What is Blake Mckinley's NPI number?

The NPI number for Blake Mckinley is 1053057463. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Blake Mckinley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Blake Mckinley was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Blake Jeffrey Mckinley Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE JEFFREY MCKINLEY DO (NPI 1053057463) is an individual hematology & oncology provider in Salt Lake City, Utah, licensed in Utah (14214224-1204) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1053057463

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. BLAKE JEFFREY MCKINLEYCredential: DO

Location Address2000 CIRCLE OF HOPE DR RM LL376Salt Lake City, UT 84112-5550

Mailing Address2000 Circle Of Hope Dr Rm Ll376Salt Lake City, UT 84112-5550 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMay 9, 2022

Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1053057463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in UT · 14214224-1204

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS20751 (FL)

2000 CIRCLE OF HOPE DR RM LL376, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Jeffrey Mckinley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA M. ALLEN MD

Internal Medicine (Hematology & Oncology)