DR. MICHAEL AUSTIN BLAKE (MD) – Diagnostic Radiology Physician, NPI 1871583039

DR. MICHAEL AUSTIN BLAKE (MD) is a healthcare provider. based in Charlestown, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 159745 (MA). The NPI Number for DR. MICHAEL AUSTIN BLAKE (MD) is 1871583039

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL AUSTIN BLAKE (MD)
NPI
1871583039
Phone
(617) 724-0287
Address
PO BOX 9142
Enumeration Date
27 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177240287
Graduation Year
1991 (35 years ago)
PAC ID
4688762263
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20071115000133
Address ID
MA021142696BO55XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

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Provider Addresses for DR. MICHAEL AUSTIN BLAKE (MD)

  • Charlestown Post Office (mobile), Pattern Close, St Austell Bay, Charlestown, Cornwall, England, PL25 3FQ, United Kingdom

    MASS GENERAL PHYSICIAN ORGANIZATION

    CHARLESTOWN, MA 021299142

    Phone: (617) 724-0287

    Fax: (617) 726-2894

    Type: Mailing

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    ELL 2 RADIOLOGICAL ASSOCIATES

    BOSTON, MA 021142621

    Phone: (617) 726-8763

    Fax: (617) 726-4891

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071115000133IDiagnostic RadiologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml18,34092$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml14,599160$0
74177Ct scan of abdomen and pelvis with contrast699679$0
76705Limited ultrasound scan of abdomen164161$0
76770Complete ultrasound scan behind abdominal cavity154153$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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Provider's Procedures

DR. MICHAEL AUSTIN BLAKE (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMA74177CT scan of abdomen and pelvis with contrast349332
DIAGNOSTIC RADIOLOGYMA76830Ultrasound pelvis through vagina2220

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL AUSTIN BLAKE (MD)?
Save NPI 1871583039 if you need a stable reference for DR. MICHAEL AUSTIN BLAKE (MD).
Is DR. MICHAEL AUSTIN BLAKE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MICHAEL AUSTIN BLAKE (MD)'s specialty in plain language?
Clinically, the directory lists DR. MICHAEL AUSTIN BLAKE (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL AUSTIN BLAKE (MD) practice in Massachusetts?
You will see Charlestown, Massachusetts on file for DR. MICHAEL AUSTIN BLAKE (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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