Jacob Samuel Blitstein, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1346915378 Issued in HI

Practice address

987 Queen St Apt 3509
Honolulu, HI 96814-3327

Phone

(847) 363-9065

NPI assigned

Aug 11, 2021

Reactivated

Jul 28, 2022

Last updated

Jun 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1346915378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 QUEEN ST APT 3509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143327",
            "telephone_number": "847-363-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 QUEEN ST APT 3509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143327",
            "telephone_number": "847-363-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITSTEIN",
        "first_name": "JACOB",
        "middle_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "deactivation_date": "2022-04-10",
        "reactivation_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "1346915378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Blanton, PA-C
• Matthew Blasquez
• Blessin Health LLC (Blessin Health)
• Pamela Kaye Blessum
• Jacob Wiley Blickenstaff, M.D.
• Janci Blodgett, LVN
• Karen Kae Blonigan
• Joseph Robert Bloom, LCSW
• Melissa M Bloom, M.D.
• Toni M Bloom, LCSW

• Physical Medicine & Rehabilitation Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.