Individual provider Active NPI

Rachel Joy Blumberg, DO

  • Emergency Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1285075028
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036134443 Issued in IL
Practice address
4300 Alton Rd
Emergency Medicine Office
Miami Beach, FL 33140-2948
Phone
(305) 535-7953
NPI assigned
Jul 9, 2013
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS12244 FL
Emergency Medicine Physician 207P00000X 20A15707 CA
Emergency Medicine Physician 207P00000X 036134443 IL Primary

Addresses

Primary practice location

4300 Alton Rd
Emergency Medicine Office
Miami Beach, FL 33140-2948

Mailing address

400 Beale St Apt 2107
San Francisco, CA 94105-4433
Phone (646) 498-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140711000630 IL Practitioner - Emergency Medicine 7618101874 Reassigns benefits to 1 organization
I20170901001923 CA Practitioner - Emergency Medicine 7618101874 Reassigns benefits to 1 organization
I20200602001702 TX Practitioner - Emergency Medicine 7618101874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 677-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
71.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15707CAMDEmergency Medicine Physician
OS12244FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince May 1, 2020 Accepting new patients
California Emergency Associates a California Medical Corporation Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: rblumbergdo358822@carlehiedirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1285075028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BEALE ST APT 2107",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941054433",
            "telephone_number": "646-498-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "address_2": "EMERGENCY MEDICINE OFFICE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-535-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "RACHEL",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS12244",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A15707",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036134443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.