BLAKE A JOHNSON MD
NPI 1811964174
Radiology - Diagnostic Radiology in St Louis Park, MN

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
5775 WAYZATA BLVD, STE 190, ST LOUIS PARK, MN 55416(952) 541-1840(952) 513-6880 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake A Johnson Md NPPES

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

BLAKE A JOHNSON MD (NPI 1811964174) is an individual diagnostic radiology provider in St Louis Park, Minnesota, licensed in Minnesota (39490) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1986).

NPPES Registry Identity

NPI1811964174
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBLAKE A JOHNSONCredential: MD
Location Address5775 WAYZATA BLVD, STE 190St Louis Park, MN 55416
Mailing AddressPo Box 1450, Nw6035Minneapolis, MN 55485-6035 · (952) 542-8553 · Fax (952) 513-6880
Fax(952) 513-6880
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1986
Enumeration DateMarch 7, 2006
Last NPPES UpdateFebruary 17, 2012
NPI 1811964174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MN · 39490
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5775 WAYZATA BLVD, St Louis Park, MN 55416

Other Identifiers 3

Medicare ID-Type Unspecified300001387MN
Medicaid205022600MN
Medicare UPINF69394

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Blake A Johnson 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 ID4587551866
PECOS Enrollment IDI20050519000700
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.

Areas of Expertise CMS Part B claims 24

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
17,341 services100 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
5,570 services102 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,741 services31 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
782 services72 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
130 services130 patients
Mri scan of upper spinal canal without contrast 72141
An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.
96 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Psychologist (Clinical)
5775 WAYZATA BLVD, SUITE 255
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
5775 WAYZATA BLVD, SUITE 700
ST LOUIS PARK, MN 55416
Radiology (Diagnostic Radiology)
5775 WAYZATA BLVD, SUITE 190
ST LOUIS PARK, MN 55416
Registered Nurse (Neuroscience)
5775 WAYZATA BLVD, SUITE 200
ST LOUIS PARK, MN 55416
Registered Nurse (Neuroscience)
5775 WAYZATA BLVD, SUITE 200
ST LOUIS PARK, MN 55416
Home Health
5775 WAYZATA BLVD, SUITE 700
ST LOUIS PARK, MN 55416
Licensed Practical Nurse
5775 WAYZATA BLVD, SUITE 700
ST LOUIS PARK, MN 55416
Registered Nurse
5775 WAYZATA BLVD, SUITE 700
ST LOUIS PARK, MN 55416

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 Johnson's NPI number?

The NPI number for Blake Johnson is 1811964174. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Blake Johnson located?

Blake Johnson practices at 5775 Wayzata Blvd Ste 190, St Louis Park, MN 55416. The listed phone number is (952) 541-1840.

What is Blake Johnson's specialty?

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

Is Blake Johnson enrolled in Medicare?

Yes. Blake Johnson 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.

When was this NPI record last updated?

The NPPES record for Blake Johnson was last updated on February 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.