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BLAKE A. BARTHOLOMEW MD
NPI 1619539749
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2025, Jun 7, 2023, Aug 12, 2020 and 2 more (5 updates tracked since 2019).

About Blake A. Bartholomew Md NPPES

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

BLAKE A. BARTHOLOMEW MD (NPI 1619539749) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (11885469-1205) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619539749
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBLAKE A. BARTHOLOMEWCredential: MD
Location Address30 N 1900 E RM 1A071Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 1a071Salt Lake City, UT 84132-0002 · (801) 581-2868
Phone(801) 581-2868
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateMarch 6, 20255 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1619539749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 11885469-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351045622 (MI)
30 N 1900 E RM 1A071, Salt Lake City, UT 84132
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake A. Bartholomew Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123356037
PECOS Enrollment IDI20240712001772, I20260302000891
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Blake Bartholomew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
2.1 mi
Sleep Disorder Diagnostic
451 BISHOP FEDERAL LN
Salt Lake City, UT 84115
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1124142427 (801) 442-1400
University Of Utah Adult Services
3.8 mi
Neurology
175 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1578967345 (801) 585-7575
Uintah Basin Medical Center
104 mi
General Acute Care Hospital
250 W 300 N
Roosevelt, UT 84066
  • Reassigned Medicare billing, Utah enrollment
  • 94 clinicians in this Medicare group
NPI 1871556217 (435) 722-6163
Tellica Imaging, LLC
301 mi
Radiology
8505 W OVERLAND RD
Boise, ID 83709
  • Reassigned Medicare billing, Utah enrollment
  • 116 clinicians in this Medicare group
NPI 1760197198 (208) 417-5100
Tellica Imaging - Washington LLC
687 mi
Radiology
421 EAST MAIN STREET
Auburn, WA 98002
  • Reassigned Medicare billing, Washington enrollment
  • 89 clinicians in this Medicare group
NPI 1215887401 (253) 204-2530

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
54 services49 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
29 services29 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
13 services11 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460007
Location1303 North Main StreetCedar City, UT 84721 · Iron County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Uintah Basin Medical Center

Acute Care Hospitals · Roosevelt, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460019
Location250 West 300 NorthRoosevelt, UT 84066 · Duchesne County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

DR. ERIKA J. SCHNEBLE DO, MA
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
WEI LIN OUYANG MD
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. LAURA M. MANN M.D.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2766
DAVID L. RIESBERG MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
KELLY DAHLSTROM D.O.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7553
DR. ADRIENE EASTAWAY MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. MICHAEL PETERSON MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
SPENCER J. BAKER MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Bartholomew's NPI number?

The NPI number for Blake Bartholomew is 1619539749. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Blake Bartholomew located?

Blake Bartholomew practices at 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132. The listed phone number is (801) 581-2868.

What is Blake Bartholomew's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Blake Bartholomew enrolled in Medicare?

Yes. Blake Bartholomew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Blake Bartholomew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Bartholomew reassigns Medicare benefits to 5 organizations: Ihc Health Services Inc (Salt Lake City, UT), University Of Utah Adult Services (Salt Lake City, UT), Uintah Basin Medical Center (Roosevelt, UT), Tellica Imaging, LLC (Boise, ID) and Tellica Imaging - Washington LLC (Auburn, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Bartholomew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Bartholomew accept?

Health plans from Select Health list Blake Bartholomew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blake Bartholomew affiliated with any hospitals?

According to CMS data, Blake Bartholomew is affiliated with Mckay-Dee Hospital, Cedar City Hospital, Intermountain Medical Center, Uintah Basin Medical Center and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Blake Bartholomew was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.