Blake Alan Niccum, MD - Medicare Internal Medicine in Lone Tree, CO

Blake Alan Niccum, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Lone Tree, Colorado. His current practice location is 9548 Park Meadows Dr, Lone Tree, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 848-0000.

Blake Alan Niccum is licensed to practice in Colorado (license number DR.0074067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346731825.

Contact Information

Blake Alan Niccum, MD
9548 Park Meadows Dr,
Lone Tree, CO 80124-5315
(720) 848-0000
Not Available

Map and Direction




Physician's Profile

Full NameBlake Alan Niccum
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location9548 Park Meadows Dr, Lone Tree, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346731825
  • Provider Enumeration Date: 05/21/2018
  • Last Update Date: 08/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608127378
  • Enrollment ID: I20180919000463

Medical Identifiers

Medical identifiers for Blake Alan Niccum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346731825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology DR.0074067 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Alan Niccum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Blake Alan Niccum, MD
Po Box 110429,
Aurora, CO 80042-0429

Ph: () -
Blake Alan Niccum, MD
9548 Park Meadows Dr,
Lone Tree, CO 80124-5315

Ph: (720) 848-0000

Reviews and Comments


Internal Medicine Doctors in Lone Tree, CO

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Than Sein, DO
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Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124
Phone: 720-875-2880    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.