Individual provider Active NPI

Adam H Blum, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1417998485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35063942 Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1736
Phone
(216) 844-1700
NPI assigned
Jun 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35063942 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1736

Mailing address

5910 Landerbrook Dr
#250
Mayfield HTS, OH 44124-6508
Phone (440) 684-5865

Other identifiers 1

IdentifierTypeStateIssuer
0352532MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040526001461 OH Practitioner - Diagnostic Radiology 2567443476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians
Lumina ImagingGroup PAC ID 0547660961, 25 clinicians

Practice addresses (Care Compare)

10 Severance Cir
Cleveland Heights, OH 44118-1533
Phone (216) 957-0900

12301 Snow Rd
Parma, OH 44130-1002
Phone (216) 957-0700

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

2500 Metrohealth Dr
Cleveland, OH 44109-1998

8401 Mentor Ave
Suite B
Mentor, OH 44060-5843
Phone (440) 592-6095

9200 Treeworth Blvd
Brecksville, OH 44141-2591
Phone (216) 957-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Diagnostic Radiology CurrentSince Dec 1, 2006 Accepting new patients
Lumina Imaging Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
The Metrohealth System CurrentSince Dec 1, 2006 Accepting new patients
University Urologists of Cleveland Inc Past Accepting new patients
University Imaging Inc Diagnostic Radiology Past Accepting new patients
University Radiologists of Cleveland Inc Diagnostic Radiology Past Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

11100 Euclid Ave
Cleveland Heights, OH 44106

8401 Mentor Ave
Ste B
Mentor, OH 44060
Phone (440) 592-6095

Interoperability endpoints

  • Direct secure messaging: ablum5513@direct.metrohealth.org

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 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417998485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 LANDERBROOK DR",
            "address_2": "#250",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441246508",
            "telephone_number": "440-684-5865",
            "fax_number": "440-449-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061736",
            "telephone_number": "216-844-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "ADAM",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35063942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.