Individual provider Active NPI

Blake Saltaformaggio, M.D.

  • Diagnostic Radiology Physician
  • Nashville, TN
National Provider Identifier
1285875260
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
49610 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone
(615) 322-3000
NPI assigned
Mar 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 49610 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

2601 TVC
Nashville, TN 37232-0001
Phone (615) 322-3000

Other practice location 2

3400 Lebanon Rd
Murfreesboro, TN 37129
Phone (615) 225-4908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140826000183 TN Practitioner - Diagnostic Radiology 2860610375 Reassigns benefits to 8 organizations
I20221129001167 MN Practitioner - Diagnostic Radiology 2860610375 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
Vanderbilt Imaging Services LLCGroup PAC ID 2163417882, 119 clinicians
Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians
Williamson Imaging LLCGroup PAC ID 3375447139, 115 clinicians
Central Imaging LLCGroup PAC ID 7012324213, 23 clinicians
Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians
One Hundred Oaks Imaging LLCGroup PAC ID 1355490756, 118 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

1909 Acklen Ave
Nashville, TN 37212-3713
Phone (615) 777-9729

1990 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 257-7787

2009 Mallory LN
Suite 150
Franklin, TN 37067-2872
Phone (615) 771-8668

3351 Roosevelt Rd
Saint Cloud, MN 56301-6270
Phone (320) 257-9755

415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7495

719 Thompson LN
Suite 23300
Nashville, TN 37204-4686
Phone (615) 936-3606

Hospital & facility affiliations

  • Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036
  • Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349
  • Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49610TNMDDiagnostic Radiology Physician
2859MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc CurrentSince Jan 17, 2026 Accepting new patients
Central Imaging LLC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
St Cloud Pathologists PA Current Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince May 24, 2025 Accepting new patients
Astera Health Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince May 18, 2025 Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2024 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Regional Diagnostic Radiology Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Unity Family Healthcare CurrentSince Mar 11, 2024 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
Tennessee Interventional and Imaging Associates, PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Sep 29, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Dec 16, 2024 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Aitkin Community Hospital, Inc. Current Accepting new patients
Astera Health CurrentSince Dec 1, 2022 Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology PastSince Dec 16, 2024 Accepting new patients
Minnesota Radiology Institute Diagnostic Radiology Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

7892 Solutions Ctr
Chicago, IL 60677

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

1108 1st St SE
Little Falls, MN 56345
Phone (320) 632-3671

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

3351 Roosevelt Rd
Saint Cloud, MN 56301
Phone (320) 255-6530

1990 Connecticut Ave S
Sartell, MN 56377
Phone (320) 257-5595

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

975 E 3rd St
#376
Chattanooga, TN 37403
Phone (423) 778-6216

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

100 Physicians Way
Ste 111
Lebanon, TN 37090

719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

210 25th Ave N
Ste 1204
Nashville, TN 37203
Phone (615) 312-1479

4525 Harding Pike
Ste 102
Nashville, TN 37205
Phone (615) 463-3034

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

Interoperability endpoints

  • Direct secure messaging: bsaltaformaggio653330@direct.centracare.com
  • Direct secure messaging: bsaltaformaggio890047@direct.vumc.org

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 23

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1285875260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372320001",
            "telephone_number": "615-322-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 TVC",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320001",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "37129",
            "country_code": "US",
            "telephone_number": "615-225-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALTAFORMAGGIO",
        "first_name": "BLAKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "49610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.