Individual provider Active NPI

Michael L Bloom, M.D.

  • Gastroenterology Physician
  • Miami Beach, FL
National Provider Identifier
1306834171
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0055835 Issued in FL
Practice address
4302 Alton Rd
Suite 850
Miami Beach, FL 33140-2891
Phone
(305) 532-2999
Fax
(305) 672-4803
NPI assigned
Oct 6, 2005
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0055835 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 850
Miami Beach, FL 33140-2891

Mailing address

4302 Alton Rd
Suite 850
Miami Beach, FL 33140-2891
Phone (305) 532-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120627000527 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2668535196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Toronto, Faculty of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bassan and Bloom M D S P LGroup PAC ID 3173788015, 3 clinicians

Practice addresses (Care Compare)

1701 NE 164TH St
Suite 304
North Miami Beach, FL 33162-4018
Phone (305) 532-2999

4308 Alton Rd
Suite 830
Miami Beach, FL 33140-4558
Phone (305) 532-2999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55835FLMDPharmacist
ME0055835FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bassan & Bloom M D S P L Gastroenterology CurrentSince Mar 1, 2001 Accepting new patients
Venture Gastroenterology LLC Gastroenterology Past Accepting new patients

Locations

4302 Alton Rd
Ste 850
Miami Beach, FL 33140
Phone (305) 532-2999

1701 NE 164th St
Ste 304
North Miami Beach, FL 33162
Phone (305) 532-2999

Organizations & group practices 2

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 2

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1306834171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-532-2999",
            "fax_number": "305-672-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 850",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "305-532-2999",
            "fax_number": "305-672-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0055835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.