Active NPI
Cynthia R. Bloom, M.D.
- Diagnostic Radiology Physician
- Sarasota, FL
National Provider Identifier
1093774556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME73265
- Practice address
- 1700 South Tamiami Trail
Sarasota, FL 34239 - Phone
- (941) 917-1668
- Fax
- (941) 917-4273
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME73265 | FL | Primary |
Addresses
Primary practice location
1700 South Tamiami Trail
Sarasota, FL 34239
Mailing address
2700 University Square Dr
Tampa, FL 33612-5513
Phone (813) 253-2721
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41300 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 252222500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73265 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology in Paradise LLC | Diagnostic Radiology | Past | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lakewood-Manatee Radiology Consultants | Past | Accepting new patients | |
| SMH Radiology Associates PA | Diagnostic Radiology | Past | Accepting new patients |
| Axcess Diagnostics Bradenton LLC | Diagnostic Radiology | Past | Accepting new patients |
| Team Radiology Physicians, PA | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bradenton, FL
- NPI 1407894744
-
- Radiology Clinic/Center
- Bradenton, FL
- NPI 1386689834
-
- Diagnostic Radiology Physician
- Sarasota, FL
- NPI 1578503165
-
- Diagnostic Radiology Physician
- Key West, FL
- NPI 1801062013
-
- Diagnostic Radiology Physician
- Sarasota, FL
- NPI 1356323331
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1467654244
-
- Diagnostic Radiology Physician
- Knoxville, TN
- NPI 1932133675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1093774556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 UNIVERSITY SQUARE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125513",
"telephone_number": "813-253-2721",
"fax_number": "813-253-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 SOUTH TAMIAMI TRAIL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34239",
"telephone_number": "941-917-1668",
"fax_number": "941-917-4273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "CYNTHIA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME73265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "41300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252222500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.