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Dr. Michael Joseph Blake , MD

Pediatrics β€’ Belgrade, MT

Active NPI 1578513701 Individual Practitioner Male Practitioner
Practice location in NPPES

206 Alaska Frontage Rd
Belgrade, MT 597147909

Call 4064143334 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

206 Alaska Frontage Rd

Belgrade, MT 597147909

Telephone 4064143334
Organization at the Same NPPES Address or Phone
Bozeman Health Deaconess Hospital Facility NPI 1518521061

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Bozeman, MT. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.41 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Blake has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Blake as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Belgrade and Montana

3 active clinicians are listed under Pediatrics with a practice address in Belgrade, MT (155 in Montana).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $14.41.

Manufacturer Payment Nature Product Type Amount ($)
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
BEYFORTUS General $14.41

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MT 12120

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Montana State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
209287408 (MO)
Medicaid ID
1578513701 (MT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20090930000696

Enrollment State Jurisdiction

MT

PECOS Control ID

2264400464

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

875 S Cottonwood Rd Ste 300

Bozeman, MT 597184208

Phone: 4064144100

937 Highland Blvd Ste 5320

Bozeman, MT 597156916

Phone: 4064144900

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dr. Philip Bain , MD

Internal Medicine

NPI 1386682664

Doctor of Medicine (M.D.)

Dr. Morgan Blake , DO

Family Medicine

NPI 1841872512

Doctor of Osteopathic Medicine (D.O.)

Shoni Costanti , PA-C

Physician Assistant - Medical

NPI 1104251966

Physician Assistant (Certified)

Kelly Euwema , DNP-BC

Nurse Practitioner

NPI 1942764873

DNPBC

Anna Hamzehpour , LCSW

Social Worker - Clinical

NPI 1952075343

Licensed Clinical Social Worker

Dr. Leslee Kane , MD

Family Medicine

NPI 1326227752

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location April 15, 2025

Registered at 206 ALASKA FRONTAGE RD, BELGRADE, MT 597147909 (Tel: 4064143334)

πŸ“
Updated Practice Location July 22, 2021

Registered at 937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 597156916 (Tel: 4064144900)

πŸ“
Updated Practice Location March 12, 2020

Registered at 206 ALASKA FRONTAGE RD, BELGRADE, MT 597147909 (Tel: 4064143334)

πŸ“
Updated Business Mailing Address March 12, 2020

Registered at 915 HIGHLAND BLVD, ATTN PFS CREDENTIALING, BOZEMAN, MT 597156902 (Tel: 4064145000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2020

Pediatrics (license number reported to NPPES: MT 12120)

βœ…
NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 18, 2007

Registered at 931 PENNSYLVANIA AVE, OTTUMWA PEDIATRICS, OTTUMWA, IA 52501 (Tel: 8462343059)

πŸ“
Business Mailing Address (Initial Record) October 18, 2007

Registered at 312 E ALTA VISTA, ORHC CLINICS CLINIC BILLING, OTTUMWA, IA 52501 (Tel: 6416843053)

πŸ‘€
Provider Name / Credentials (Initial Record) October 18, 2007

Recorded as MICHAEL BLAKE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

Pediatrics (license number reported to NPPES: IA 36966)

🟒
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1578513701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

915 Highland Blvd, Attn Pfs Credentialing

Bozeman, MT 597156902

Phone: 4064145000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.