BLAKE W. MONTANA MD
NPI 1790863454
Emergency Medicine in Sacramento, CA

Q: What is Blake Montana's NPI number?

The NPI number for Blake Montana is 1790863454. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Blake Montana's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Montana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 01, 2006PECOS Enrolled

2025 MORSE AVE, SACRAMENTO, CA 95825(916) 973-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Blake W. Montana Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE W. MONTANA MD (NPI 1790863454) is an individual emergency medicine provider in Sacramento, California, licensed in California (G81929) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790863454

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameBLAKE W. MONTANACredential: MD

Location Address2025 MORSE AVESacramento, CA 95825-2115

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(916) 973-5000

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790863454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · G81929

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2025 MORSE AVE, Sacramento, CA 95825

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Other Identifiers 3

Medicare UPINF44076

Medicare ID-Type Unspecified00G819290

Medicaid00G819290CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake W. Montana Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Blake Montana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California

2.3 mi

Multi-Specialty

1535 RIVER PARK DR STE 2000
Sacramento, CA 95815

Reassigned Medicare billing, California enrollment
918 clinicians in this Medicare group

NPI 1952998973 (916) 734-9200

Regents Of The Univ Of Ca

4.5 mi

Dermatopathology

3301 C ST STE 1413
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1043208945 (916) 734-6373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95825 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

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.

SHARON KAY MCCOY FNP

Nurse Practitioner (Family)