Wayne Brian Bloom, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N-004707 Issued in NY

Practice address

2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4108

Phone

(914) 245-7888

Fax

(914) 245-7909

NPI assigned

Jun 29, 2005

Reactivated

Mar 24, 2006

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Podiatry Associates PCGroup PAC ID 4183728926, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: wayne.bloom@direct.hvhc.org
• Direct secure messaging: wbb9004@direct.nyp.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Podiatry Associates, PC

  dba yorktown footcare group

  • Foot Surgery Podiatrist
  • Yorktown Heights, NY
  • NPI 1659410934
  Medicare reassignment Care Compare group NPD Authorized official
• Hudson Valley Podiatry Associates, PC

  • Foot Surgery Podiatrist
  • Yorktown Heights, NY
  • NPI 1518178631
  Authorized official Same address or phone
• Westchester O B S, Inc.

  • Podiatric Clinic/Center
  • Yorktown Heights, NY
  • NPI 1245451525
  Authorized official Same address or phone

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1225035835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-245-7888",
            "fax_number": "914-245-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984108",
            "telephone_number": "914-245-7888",
            "fax_number": "914-245-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "WAYNE",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2014-02-07",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N-004707",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N-004707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480013301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480015388",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birch Marriage and Family Therapy PLLC
• Andrea Birch, LMFT
• BJ's Wholesale Club Inc.
• Brigitte Nicole Black, PA
• Tomas Blanco, M.D.
• Katelyn Bloss
• Abigail Boamah
• Elaine Boccumini, LCSW
• John A Boday
• Shanique Tsige Bowden

• Foot Surgery Podiatrist in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.