Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578513701 Individual Practitioner Male Practitioner

Dr. Michael Joseph Blake , MD

Pediatrics • Belgrade, MT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Blake, MD is a registered healthcare professional specializing in Pediatrics in Belgrade, MT. Practice services are available at 206 ALASKA FRONTAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

206 Alaska Frontage Rd

Belgrade, MT 597147909

Telephone 4064143334
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Belgrade, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Belgrade, MT (165 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

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

Secondary Practice Locations

875 S Cottonwood Rd Ste 300

Bozeman, MT 597184208

Phone: 4064144100

937 Highland Blvd Ste 5320

Bozeman, MT 597156916

Phone: 4064144900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003846577

Doctor of Medicine (M.D.)

Dr. Jason Sarisky , DO

Family Medicine

NPI 1083102255

Doctor of Osteopathic Medicine (D.O.)

Shoni Costanti , PA-C

Physician Assistant - Medical

NPI 1104251966

Physician Assistant (Certified)

NPI 1245541945

Doctor of Osteopathic Medicine (D.O.)

Danielle Norris , ARNP

Nurse Practitioner

NPI 1255856464

Advanced Registered Nurse Practitioner

Dr. David King , MD

Family Medicine

NPI 1285665786

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 15, 2025

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

📍
Updated Practice Location July 22, 2021

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

📍
Updated Practice Location March 12, 2020

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

📍
Updated Business Mailing Address March 12, 2020

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

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

Pediatrics (License #12120 in MT)

NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2007

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

📍
Updated Business Mailing Address October 18, 2007

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

👤
Provider Name / Credentials Updated October 18, 2007

Recorded as MICHAEL BLAKE, MD

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

Pediatrics (License #36966 in IA)

🟢
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.