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

Paul Blake

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477132710

Paul Blake is a Diagnostic Radiology in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2021, 5 years ago. Practices with St Alexius Medical Center, a 241-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
5
Trained at
University of Minnesota Medical School
Licensed in
ND
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 Delaware St SE
Minneapolis, MN 55455-0341
Phone: (612) 873-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 23235 (ND)

Record details

NPI number1477132710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address420 Delaware St Se, Minneapolis, MN 55455-0341

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2021 (5 years in practice)
Group practice St Alexius Medical Center — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minneapolis