Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Blake Wilson Johnson, DO

Individual provider Anesthesiology Physician · NPI 1760502991

Blake Wilson Johnson, DO practises Anesthesiology in West Jordan, Utah. Qualified in 2004, 22 years ago. Practices with Kauai Medical Clinic, a 150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Kansas and Utah.

Years since qualifying
22
Licensed in
AZ, KS, UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3580 W 9000 S
West Jordan, UT 84088-8812
Phone: (801) 561-8888
Fax: (480) 507-2971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 S Avenue A, Yuma, AZ 85364-7127 — (928) 344-2000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 6919190-1240 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 012210 (AZ)
Anesthesiology Physician Taxonomy 207L00000X · Licence 94-06211 TEMPORARY (KS)

Record details

NPI number1760502991
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 30, 2007
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients63
Services billed 67 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $722 19 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Kauai Medical Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 150 clinicians in the practice; 12 are shown here.

Other providers in West Jordan