DR. JOHN JOSEPH BLASE (M.D.) – Diagnostic Radiology Physician, NPI 1053512459

DR. JOHN JOSEPH BLASE (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301083968 (MI). The NPI Number for DR. JOHN JOSEPH BLASE (M.D.) is 1053512459

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN JOSEPH BLASE (M.D.)
NPI
1053512459
Phone
(313) 916-2600
Address
2799 W GRAND BLVD
Enumeration Date
31 May 2007
Last Update Date
3 April 2012

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8107988511
Graduation Year
2004 (22 years ago)
PAC ID
1658422266
Group Practice PAC ID
6901296110
Professional Enrollment ID
I20090622000326
Address ID
MI480651333BR80650RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,650 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for DR. JOHN JOSEPH BLASE (M.D.)

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-2600

    Mailing address matches the actual address.

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: 2009-06-22

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
I20090622000326IDiagnostic RadiologyMITBD

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
71045X-ray of chest, 1 view706656$0
70450Ct scan head or brain without contrast452439$0
71046X-ray of chest, 2 views283279$0
72125Ct scan of upper spine without contrast173173$0
74177Ct scan of abdomen and pelvis with contrast147147$0
View full utilization report →

Insurance plans in this area (ZIP 48202)

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Provider's Procedures

DR. JOHN JOSEPH BLASE (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views2825
DIAGNOSTIC RADIOLOGYMI74177CT scan of abdomen and pelvis with contrast100100

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: 6901296110View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerONTARIO
Emergency MedicineMI
Family PracticeMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Family PracticeMI

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN JOSEPH BLASE (M.D.)?
The federal identifier for DR. JOHN JOSEPH BLASE (M.D.) is NPI 1053512459.
Does this profile mean DR. JOHN JOSEPH BLASE (M.D.) is currently active?
Yes — DR. JOHN JOSEPH BLASE (M.D.) appears active in the national provider directory.
Can you summarize DR. JOHN JOSEPH BLASE (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JOHN JOSEPH BLASE (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOHN JOSEPH BLASE (M.D.)?
The page summarizes Detroit, Michigan for DR. JOHN JOSEPH BLASE (M.D.); expand the address list for detail.
How can I contact DR. JOHN JOSEPH BLASE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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