DR. BLAKE HENRY SALISBURY MD
NPI 1669055513
Radiology - Diagnostic Radiology in Southfield, MI

Active since April 29, 2021PECOS Enrolled
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2026, Apr 29, 2021 (2 updates tracked since 2021).

About Dr. Blake Henry Salisbury Md NPPES

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

DR. BLAKE HENRY SALISBURY MD (NPI 1669055513) is an individual diagnostic radiology provider in Southfield, Michigan, licensed in Michigan (4351048087) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669055513
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BLAKE HENRY SALISBURYCredential: MD
Location Address22250 PROVIDENCE DRSouthfield, MI 48075-4825
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712
Fax(248) 849-5449
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
NPI 1669055513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MI · 4351048087 Licensed in MI · 0
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

22250 PROVIDENCE DR, Southfield, MI 48075

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 Henry Salisbury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870997091
PECOS Enrollment IDI20260512004274
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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48075 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.38
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $18.09
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.

Obstetrics & Gynecology
22250 PROVIDENCE DR, 408
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, FL 5
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 500
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 500
SOUTHFIELD, MI 48075

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669055513, enumerated as an "individual" on April 29, 2021.

The provider is located at 22250 PROVIDENCE DR SOUTHFIELD, MI 48075 and the phone number is (248) 849-3281.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.