Individual provider Active NPI

Barry Blum, MD

  • Orthopaedic Surgery Physician
  • Kailua-Kona, HI
National Provider Identifier
1295839595
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD3340 Issued in HI
Practice address
78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740
Phone
(808) 747-8321
Fax
(808) 322-6005
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD3340 HI Primary
Orthopaedic Surgery Physician 207X00000X G15800 CA

Addresses

Primary practice location

78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740

Mailing address

78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740
Phone (808) 747-8321

Other identifiers 2

IdentifierTypeStateIssuer
00024190OtherHIHMSA
21856MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20050927000920 HI Practitioner - Orthopedic Surgery 5991730129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

Practice addresses (Care Compare)

78 -6831 Alii Dr
Suite 422
Kailua Kona, HI 96740-5402
Phone (808) 747-8321

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3340HIMDClinical Social Worker
G15800CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali'I Health Center CurrentSince Aug 13, 2019 Accepting new patients
Alii Health Center CurrentSince Aug 13, 2019 Accepting new patients
Alii Health Center PastSince Feb 14, 2021 Accepting new patients

Locations

78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321

78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321

78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725

Organizations & group practices 3

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1295839595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALI'I DRIVE",
            "address_2": "SUITE 328",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-747-8321",
            "fax_number": "808-331-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALI'I DRIVE",
            "address_2": "SUITE 328",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-747-8321",
            "fax_number": "808-322-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "BARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD3340",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G15800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00024190",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21856",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua-Kona, HI

Sources for this page

Verify at the official NPI Registry.