RUSTAM BLATOV CRNA
NPI 1134468390
Nurse Anesthetist, Certified Registered in Roseville, CA

Active since February 07, 2013Accepts Medicare Assignment
1600 EUREKA RD, ROSEVILLE, CA 95661(916) 784-4000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1134468390
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRUSTAM BLATOVCredential: CRNA
Location Address1600 EUREKA RDRoseville, CA 95661-3027
Mailing Address1600 Eureka RdRoseville, CA 95661-3027 · (916) 784-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 7, 2013
Last NPPES UpdateJanuary 3, 2022
NPI 1134468390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in CA · 4335
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1600 EUREKA RD, Roseville, CA 95661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2567617293
PECOS Enrollment IDI20130304000504

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
31 services31 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients

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.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Adult Health)
1600 EUREKA RD
ROSEVILLE, CA 95661
Internal Medicine (Medical Oncology)
1600 EUREKA RD
ROSEVILLE, CA 95661
Surgery (Pediatric Surgery)
1600 EUREKA RD
ROSEVILLE, CA 95661
Emergency Medicine
1600 EUREKA RD
ROSEVILLE, CA 95661
Nurse Practitioner (Women's Health)
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661
Pharmacist
1600 EUREKA RD
ROSEVILLE, CA 95661

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134468390, enumerated as an "individual" on February 07, 2013.

The provider is located at 1600 EUREKA RD ROSEVILLE, CA 95661 and the phone number is (916) 784-4000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.