DR. BLAKE MITCHELL PRIMI M.D.
NPI 1154853489
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is Blake Primi's NPI number?

The NPI number for Blake Primi is 1154853489. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Q: What is Blake Primi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Primi was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2017PECOS Enrolled

12605 E 16TH AVE, AURORA, CO 80045(303) 724-8373 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2021, Mar 27, 2017 (2 updates tracked since 2017).

On this page

About Dr. Blake Mitchell Primi M.d. NPPES

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

DR. BLAKE MITCHELL PRIMI M.D. (NPI 1154853489) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154853489

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BLAKE MITCHELL PRIMICredential: M.D.

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing Address12631 E. 17th Avenue, Ste. 2001, Mail Stop 8202Aurora, CO 80045 · (303) 724-8373

Phone(303) 724-8373

Sole ProprietorNo

Enumeration DateMarch 27, 2017

Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1154853489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12605 E 16TH AVE, Aurora, CO 80045

Open in Google Maps ↗

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 Mitchell Primi M.d. 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.

Other Providers at the Same Location NPPES 20

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

KEVIN BRADLEY ROTHCHILD MD

Surgery (Trauma Surgery)