Active NPI
Barry Blum, MD
- Orthopaedic Surgery Physician
- Kailua-Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD3340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00024190 | Other | HI | HMSA |
| 21856 | Medicaid | HI |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3340 | HI | MD | Clinical Social Worker |
| G15800 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| Alii Health Center | Past | 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.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.