Dina Christina Blom, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21513 Issued in WV

Practice address

1508 6TH Ave
Huntington, WV 25701-2902

Phone

(304) 522-8311

Fax

(304) 522-8313

NPI assigned

Mar 8, 2006

Last updated

Jan 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Ophthalmology

Education

Eastern Virginia Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ec21ei41

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.

• Huntington Ophthalmology Professional Corp

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1093060253
  Medicare reassignment NPD Authorized official
• Huntington Ophthalmology Professional Corporation

  • Eyewear Supplier
  • Huntington, WV
  • NPI 1285970186
  NPD Authorized official
• Eye Care Inc

  • Ophthalmology Physician
  • Huntington, WV
  • NPI 1164539748
  NPD (past)
• C & Li PA, Inc

  dba Cataract and Laser Institute of PA

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1629147756
  NPD (past)
• Cheryl S Kaufmann MDPC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1942481239
  NPD (past)
• Emerald Coast Eye Institute LLC

  • Ophthalmology Physician
  • Fort Walton Beach, FL
  • NPI 1669421467
  NPD (past)
• Emerald Coast Eye Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Walton Beach, FL
  • NPI 1164638680

  Ophthalmology

  NPD (past)
• New York University

  dba NYU Faculty Group Practice

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438
  NPD (past)

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

• St. Mary's Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1235106279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080366",
            "telephone_number": "304-522-8311",
            "fax_number": "304-522-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012902",
            "telephone_number": "304-522-8311",
            "fax_number": "304-522-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "DINA",
        "middle_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "21513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502134",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1810976000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Blevins
• Madeline Isabel Blevins
• Nathan Ray Blevins
• Peggy Blevins
• Emily Blizzard, COTA/L
• Paul Henry Blom, MD
• Gustav A Blomquist, MD
• Aiden L Blond
• Philip Bloomer, LCSW
• Allie N Blosser

• Ophthalmology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.