Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Alan Niccum, MD

Individual provider Gastroenterology Physician · NPI 1346731825

Blake Alan Niccum, MD is a Gastroenterology in Lone Tree, Colorado. Graduated from University of Virginia School of Medicine in 2018, 8 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
8
Trained at
University of Virginia School of Medicine
Licensed in
CO
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9548 Park Meadows Dr
Lone Tree, CO 80124-5315
Phone: (720) 848-0000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1635 Aurora Ct, Aurora, CO 80045-2541 — (720) 848-2777

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence DR.0074067 (CO)

Record details

NPI number1346731825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lone Tree