Donald C Blake, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Houston, TX
NPI 1013908607 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1013908607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- J8206 (TX)
- Practice address
- 12951 South Fwy
Houston, TX 77047-1923 - Phone
- (713) 526-5771
- Fax
- (713) 526-2036
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Center of Southern Nevada
Florida Radiology Associates LLC
Radiology Associates of South Carolina LLC
Practice addresses (Care Compare)
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000
52 Via del Corso
Palm Beach Gardens, FL 33418-3772
Phone (469) 757-1042
Hospital & facility affiliations
- University Medical Center
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 86.33
- Improvement activities
- 40
- Cost
- 88.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in FL, WY, CA, NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110406000528 | FL | Practitioner - Diagnostic Radiology | 5698959237 | Reassigns benefits to 12 organizations |
| I20240605001814 | WY | Practitioner - Diagnostic Radiology | 5698959237 | Reassigns benefits to 2 organizations |
| I20240627001784 | CA | Practitioner - Diagnostic Radiology |
5698959237 | Reassigns benefits to 1 organization |
| I20250424003154 | NV | Practitioner - Diagnostic Radiology | 5698959237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (28 of 29)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Radiology Services of Pinellas, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Carbon County | Current |
Accepting new patients | |
| Florida Radiology Associates LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Imaging Associates of New Mexico LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Elevation Medical Imaging Evanston | Current |
Accepting new patients | |
| Florida United Radiology LC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Imaging Associates of Idaho Falls, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current |
Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Memorial Hospital of Carbon County | Current |
Accepting new patients | |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| El Camino Health Medical Network, LLC | Current |
Accepting new patients | |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| University Medical Center of Southern Nevada | Current |
Accepting new patients | |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Mountain Radiology, Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Professional Imaging Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Consultants of Rockford LTD | Diagnostic Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of South Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Sheridan Radiology Services of Central Florida, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Madison Radiologists S C | Diagnostic Radiology | Past |
Accepting new patients |
| El Camino Health Medical Group | Past | Accepting new patients |
Locations (25 of 62)
525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690
14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000
16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
11190 Warner Ave
Ste 110
Fountain Vly, CA 92708
Phone (714) 431-0303
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
6601 White Feather Rd
Ste A4
Joshua Tree, CA 92252
Phone (619) 366-3405
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | J8206 | TX | Yes |
Addresses
Primary practice location
12951 South Fwy
Houston, TX 77047-1923
Mailing address
PO Box 4346
Dept 216
Houston, TX 77210-4346
Phone (713) 331-1850
NPI Registry JSON
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1013908607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4346",
"address_2": "DEPT 216",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104346",
"telephone_number": "713-331-1850",
"fax_number": "713-521-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12951 SOUTH FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770471923",
"telephone_number": "713-526-5771",
"fax_number": "713-526-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "DONALD",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "J8206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Auriel O Blake
- Boaz Blake
- Brooke Blake
- Desmond Eugene Blake Sr.
- Destiny Monique Blake
- Kenan Joseph Blake
- Pamela Y Blake
- Roslynn Blake
- Stefanie Blake
- Tiffany K Blake
All providers in Houston, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.