Individual provider Active NPI

Ronald M Blum, DO

  • Family Medicine Physician
  • Jenkintown, PA
National Provider Identifier
1225057102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007554L Issued in PA
Practice address
1130 Herkness Dr
Jenkintown, PA 19046-1155
Phone
(215) 887-5748
Fax
(215) 827-5722
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007554L PA Primary

Addresses

Primary practice location

1130 Herkness Dr
Jenkintown, PA 19046-1155

Mailing address

1130 Herkness Dr
Jenkintown, PA 19046-1155
Phone (215) 887-5748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000240 PA Practitioner - General PracticePractitioner - Family Practice 3577521582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Forty Foot Rd
Hatfield, PA 19440-2856
Phone (484) 766-1496

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Continuing Care Medical Associates PLLC CurrentSince Jul 22, 2021 Accepting new patients
Continuing Care Medical Associates PLLC CurrentSince Jul 22, 2021 Accepting new patients
Continuing Care Medical Associates PLLC Current Accepting new patients
Medexpress, Inc - Delaware Family Medicine Past Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Past Accepting new patients

Locations

500 Forty Foot Rd
Hatfield, PA 19440
Phone (484) 766-1496

401 Horsham Rd
Horsham, PA 19044
Phone (215) 422-3646

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225057102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HERKNESS DR",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461155",
            "telephone_number": "215-887-5748",
            "fax_number": "215-827-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HERKNESS DR",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461155",
            "telephone_number": "215-887-5748",
            "fax_number": "215-827-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "RONALD",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007554L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.