BLAKE ALAN NICCUM MD
NPI 1346731825
Internal Medicine - Gastroenterology in Lone Tree, CO
About Blake Alan Niccum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE ALAN NICCUM MD (NPI 1346731825) is an individual gastroenterology provider in Lone Tree, Colorado, licensed in Colorado (DR.0074067) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Blake Alan Niccum Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80124 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.
LONE TREE, CO 80124
LONE TREE, CO 80124
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 Blake Niccum's NPI number?
The NPI number for Blake Niccum is 1346731825. It was assigned to this individual provider in the NPPES registry on May 21, 2018.
Where is Blake Niccum located?
Blake Niccum practices at 9548 Park Meadows Dr, Lone Tree, CO 80124. The listed phone number is (720) 848-0000.
What is Blake Niccum's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Blake Niccum enrolled in Medicare?
Yes. Blake Niccum 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.
What insurance does Blake Niccum accept?
Health plans from Medica list Blake Niccum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blake Niccum was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Blake Alan Niccum, MD · NPI 1346731825
Gastroenterology physician in Lone Tree, Colorado. Individual provider, active in the CMS NPPES registry since May 21, 2018.
## Identity
- **NPI:** 1346731825 (Entity type: Individual)
- **Enumerated:** May 21, 2018
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** DR.0074067 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 9548 PARK MEADOWS DR, Lone Tree, CO 80124-5315
- **Phone:** (720) 848-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Virginia School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1346731825) · Data from the CMS NPPES public registry.