Alan F. Bloom, MD
Individual provider Active NPI Ophthalmology Physician · Pittsford, NY
NPI 1003841446 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1003841446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 158788 (NY)
- Practice address
- 500 Kreag Road
Pittsford, NY 14534 - Phone
- (585) 249-8300
- Fax
- (585) 249-8380
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110420000215 | NY | Practitioner - Ophthalmology | 3678471398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current |
Accepting new patients | |
| Western New York Medical Practice PC | Current |
Accepting new patients |
Locations
39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480
1105 Driving Park Ave
Newark, NY 14513
Phone (315) 331-5721
500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300
1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003
1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
2345 Ridgeway Ave
Rochester, NY 14626
Phone (585) 723-6070
6353 Ridge Rd
Sodus, NY 14551
Phone (315) 483-8300
Interoperability endpoints
- abloom84606@direct.rochesterregional.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 158788 | NY | Yes |
Addresses
Primary practice location
500 Kreag Road
Pittsford, NY 14534
Mailing address
500 Kreag Road
Pittsford, NY 14534
Phone (585) 249-8300
Other practice location 1
6353 Ridge Rd
Sodus, NY 14551-9743
Phone (315) 483-8300
Other practice location 2
39 Washington Ave
Batavia, NY 14020-2035
Phone (585) 409-2020
Other practice location 3
1105 Driving Park Ave
Newark, NY 14513-1069
Phone (315) 331-5721
Other practice location 4
2345 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 723-6070
Other practice location 5
1338 E Ridge Rd
Rochester, NY 14621-2018
Phone (585) 544-6680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180010335 | Other | NY | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abloom84606@direct.rochesterregional.org | Direct |
Other providers in Pittsford, NY
- Edith Hecht Bernstein
- Tanya Bhayana
- Rebecca Jean Bielawski
- Jonathan Thomas Blackman
- Kimberly Lee Blackshear
- Helena Nadine Boersma
- Sheridan Booth
- Sharon B Borrell
- Sarah Bracker
- Branch Acupuncture, PLLC
All providers in Pittsford, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.