Doctor profile · Federal record
Dr. Blake Niccum, MD
Gastroenterology Physician (CMS: Gastroenterology) · Lone Tree, CO
- NPI 1346731825
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
9548 Park Meadows Dr
Lone Tree, CO 801245315
(720) 848-0000 - Additional location
-
1635 Aurora CT
Aurora, CO 800452541
(720) 848-2777 - Mailing address
-
Po Box 110429
Aurora, CO 800420429
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- August 7, 2025
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Colorado #DR.0074067
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346731825. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14,230
Transactions
10
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 10 | $14,229.71 |
By nature of payment
Frequently asked questions
What is Dr. Blake Niccum's medical specialty?
Dr. Blake Niccum practices Gastroenterology Physician in Lone Tree, CO.
Where does Dr. Blake Niccum practice?
Dr. Blake Niccum practices at 9548 Park Meadows Dr, Lone Tree, CO 801245315. Office phone: 7208480000.
What is Dr. Blake Niccum's NPI?
Dr. Blake Niccum's National Provider Identifier (NPI) is 1346731825, issued by NPPES.
Does Dr. Blake Niccum accept Medicare assignment?
Yes. Dr. Blake Niccum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.