Individual provider Active NPI

Blake O. Zobell, DPM

  • Podiatrist
  • Richfield, UT
National Provider Identifier
1720026560
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2666400501 Issued in UT
Practice address
879 N Main St
Richfield, UT 84701-1840
Phone
(435) 896-6497
Fax
(435) 896-9564
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2666400501 UT Primary

Addresses

Primary practice location

879 N Main St
Richfield, UT 84701-1840

Mailing address

879 N Main St
Richfield, UT 84701-1840
Phone (435) 896-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121001018 UT Practitioner - Podiatry 7911926738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Mountain Utah Family MedicineGroup PAC ID 9830276112, 6 clinicians
Mufm LLCGroup PAC ID 6507381068, 2 clinicians

Practice addresses (Care Compare)

1000 N Main St
Richfield, UT 84701-2061
Phone (435) 893-4100

879 N Main St
Richfield, UT 84701-1840
Phone (435) 896-9561

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue57
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2666400501UTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mufm LLC. CurrentSince Feb 27, 2025 Accepting new patients
Blake O Zobell DPM P C Podiatrist PastSince Feb 25, 2005 Accepting new patients

Locations

879 N Main St
Richfield, UT 84701
Phone (435) 896-6497

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1720026560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-6497",
            "fax_number": "435-896-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 N MAIN ST",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011840",
            "telephone_number": "435-896-6497",
            "fax_number": "435-896-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOBELL",
        "first_name": "BLAKE",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "2666400501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.