Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Blake Gornowicz, MD

Individual provider Internal Medicine Physician · NPI 1548363732

Blake Gornowicz, MD practises Internal Medicine in The Dalles, Oregon. Graduated from University of Missouri, Columbia School of Medicine in 2004, 22 years ago. Practices with Grande Ronde Hospital Inc, a 96-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 E 19th St
The Dalles, OR 97058 Not confirmed with CMS for 12 years — call before visiting
Phone: (541) 296-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2004018445 (MO)

Record details

NPI number1548363732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESDecember 11, 2013

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Grande Ronde Hospital Inc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients155
Services billed 535 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Also affiliated with 1 nursing home, which CMS identifies by certification number only.

Colleagues at Grande Ronde Hospital Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 96 clinicians in the practice; 12 are shown here.

Other providers in The Dalles