Individual provider Active NPI

Jeffrey Bloom, DO

  • Retina Specialist (Ophthalmology) Physician
  • Dayton, OH
National Provider Identifier
1194286773
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
34.017533 Issued in OH
Practice address
6683 Centerville Business Pkwy
Dayton, OH 45459-2655
Phone
(937) 723-7772
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 34.017533 OH Primary
Ophthalmology Physician 207W00000X 20A21241 CA

Addresses

Primary practice location

6683 Centerville Business Pkwy
Dayton, OH 45459-2655

Mailing address

1020 Woodman Dr Ste 105
Dayton, OH 45432-1410
Phone (937) 723-3248

Other practice location 1

1020 Woodman Dr Ste 105
Dayton, OH 45432-1410
Phone (937) 723-3248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230719002280 CA Practitioner - Ophthalmology 9335479963
I20250918002675 OH Practitioner - Ophthalmology 9335479963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Alabama College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloom Family Eye Surgeons LTDGroup PAC ID 9335108554, 8 clinicians

Practice addresses (Care Compare)

1020 Woodman Dr
Suite 105
Dayton, OH 45432-1410
Phone (937) 723-7772

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A21241CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Family Eye Surgeons LTD Ophthalmology CurrentSince Aug 28, 2025 Accepting new patients

Locations

6683 Centerville Business Pkwy
Dayton, OH 45459
Phone (937) 723-7772

8216 N Main St
Dayton, OH 45415
Phone (937) 454-2020

1020 Woodman Dr
Ste 105
Dayton, OH 45432
Phone (937) 723-3248

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jeffrey.bloom.p1@direct.bfes.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1194286773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321410",
            "telephone_number": "937-723-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6683 CENTERVILLE BUSINESS PKWY",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592655",
            "telephone_number": "937-723-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Woodman Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454321410",
            "country_code": "US",
            "telephone_number": "937-723-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JEFFREY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "34.017533",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A21241",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.