RUSTAM BLATOV CRNA
NPI 1134468390
Nurse Anesthetist, Certified Registered in Roseville, CA
About Rustam Blatov Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUSTAM BLATOV CRNA (NPI 1134468390) is an individual nurse anesthetist, certified registered in Roseville, California, licensed in California (4335) and active in the NPI registry since February 2013. He is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rustam Blatov Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Rustam Blatov reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Sutter Valley Medical Foundation
- Also billed through NPI 1972877264 (California), NPI 1457593980 (California), NPI 1467825844 (California), NPI 1346615150 (California)
- 3,056 clinicians in this Medicare group
Placerville, CA 95667
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rustam Blatov's NPI number?
The NPI number for Rustam Blatov is 1134468390. It was assigned to this individual provider in the NPPES registry on February 7, 2013.
Where is Rustam Blatov located?
Rustam Blatov practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.
What is Rustam Blatov's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Rustam Blatov enrolled in Medicare?
Yes. Rustam Blatov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rustam Blatov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rustam Blatov reassigns Medicare benefits to 4 organizations: Sutter Medical Foundation (Sacramento, CA), El Dorado Anesthesia Medical Group (Placerville, CA), Permanente Medical Group Inc (Stockton, CA) and Northbay Neonatology Associates, Inc (Vallejo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rustam Blatov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rustam Blatov was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rustam Blatov, CRNA · NPI 1134468390
Nurse Anesthetist, Certified Registered physician in Roseville, California. Individual provider, active in the CMS NPPES registry since February 7, 2013.
## Identity
- **NPI:** 1134468390 (Entity type: Individual)
- **Enumerated:** February 7, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4335 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 EUREKA RD, Roseville, CA 95661-3027
- **Phone:** (916) 784-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sutter Medical Foundation (NPI 1942524095, Sacramento, CA); El Dorado Anesthesia Medical Group (NPI 1356390983, Placerville, CA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Northbay Neonatology Associates, Inc (NPI 1265513360, Vallejo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1134468390) · Data from the CMS NPPES public registry.