Claire Elaine Bloodworth, PA
Individual provider Active NPI Physician Assistant · New York, NY
NPI 1043967441 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043967441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 028111 (NY)
- Practice address
- 305 E 33Rd St
New York, NY 10016-9401 - Phone
- (855) 698-4232
- NPI assigned
- Mar 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
125 Community Dr
Great Neck, NY 11021-5502
Phone (516) 207-7797
199 Community Dr
Great Neck, NY 11021-5502
Phone (516) 365-9229
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
Hospital & facility affiliations
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220525000117 | NY | Practitioner - Physician Assistant | 8527445998 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02811 | NY | MD | Colon & Rectal Surgery Physician |
| 028111 | NY | MD | Speech-Language Pathologist |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
305 E 33rd St
New York, NY 10016
Phone (212) 263-3030
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- cbloodworth277412@northwell.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 02811 | NY | |
| Physician Assistant | 363A00000X | 028111 | NY | Yes |
Addresses
Primary practice location
305 E 33Rd St
New York, NY 10016-9401
Mailing address
305 E 33Rd St
New York, NY 10016-9401
Other names
- Claire Bloodworth
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Epic | Health Information Exchange (HIE) | NYU Langone Hospitals |
Other providers in New York, NY
- Ofra Blonder
- Alan Peter Blondman
- Max Blondman
- Emmeline Ryan Blong
- Kemba Bloodworth-Bhattacharya
- Bloom Medical Ny PLLC
- Bloom New York
- Bloom Psychotherapy Nyc LCSW PC
- Bloom Therapy
- Adria Jay Bloom
All providers in New York, NY · Physician Assistant 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 Jul 21, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.