DR. BLAKE ALLEN UMBERHAM DO
NPI 1669979605
Anesthesiology in Minneapolis, MN
About Dr. Blake Allen Umberham Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE ALLEN UMBERHAM DO (NPI 1669979605) is an individual anesthesiology provider in Minneapolis, Minnesota, licensed in Minnesota (71342) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Blake Allen Umberham Do 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
2Medicare enrollment records show Blake Umberham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 119 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 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeview Memorial Hospital
Acute Care Hospitals · Stillwater, MNRegions Hospital
Acute Care Hospitals · Saint Paul, MNAmery Hospital & Clinic
Critical Access Hospitals · Amery, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Umberham's NPI number?
The NPI number for Blake Umberham is 1669979605. It was assigned to this individual provider in the NPPES registry on April 6, 2018.
Where is Blake Umberham located?
Blake Umberham practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 273-3000.
What is Blake Umberham's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Blake Umberham enrolled in Medicare?
Yes. Blake Umberham 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 Blake Umberham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Umberham reassigns Medicare benefits to 2 organizations: University Anesthesia Providers, LLC (Minneapolis, MN) and Twin Cities Anesthesia Associates PC (Saint Paul, MN). 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 Blake Umberham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Blake Umberham affiliated with any hospitals?
According to CMS data, Blake Umberham is affiliated with Lakeview Memorial Hospital, Regions Hospital and Amery Hospital & Clinic.
When was this NPI record last updated?
The NPPES record for Blake Umberham was last updated on July 6, 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.
# Dr. Blake Allen Umberham, DO · NPI 1669979605
Anesthesiology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 6, 2018.
## Identity
- **NPI:** 1669979605 (Entity type: Individual)
- **Enumerated:** April 6, 2018
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 71342 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 273-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Twin Cities Anesthesia Associates PC (NPI 1982125456, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** July 6, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669979605) · Data from the CMS NPPES public registry.