Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Blake A Johnson, MD

Individual provider Diagnostic Radiology Physician · NPI 1811964174

Blake A Johnson, MD is a Diagnostic Radiology in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 1986, 40 years ago. Practices with Medical Scanning Consultants PA, a 80-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
40
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416
Phone: (952) 541-1840
Fax: (952) 513-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 39490 (MN)

Record details

NPI number1811964174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESFebruary 17, 2012
Mailing addressPo Box 1450, Nw6035, Minneapolis, MN 55485-6035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1986 (40 years in practice)
Group practice Medical Scanning Consultants Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

Other providers in St Louis Park