Individual provider Active NPI

Richard Harvey Blum, M.D.

  • Internal Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1437173580
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17389E Issued in PA
Practice address
545 N. River Street
Suite 230
Wilkes Barre, PA 18702-2643
Phone
(570) 826-0526
Fax
(570) 824-0688
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17389E PA Primary

Addresses

Primary practice location

545 N. River Street
Suite 230
Wilkes Barre, PA 18702-2643

Mailing address

545 N. River Street
Suite 230
Wilkes Barre, PA 18702-2643
Phone (570) 826-0526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070612000223 PA Practitioner - Internal Medicine 1557469715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Blum and Desai LLCGroup PAC ID 9830249242, 2 clinicians

Practice addresses (Care Compare)

545 N River St
Suite 230
Wilkes-Barre, PA 18702-2643
Phone (570) 826-0526

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17389EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Blum & Desai LLC Internal Medicine CurrentSince Apr 27, 2009 Accepting new patients

Locations

545 N River St
Ste 230
Wilkes Barre, PA 18702
Phone (570) 826-0526

Interoperability endpoints

  • Direct secure messaging: drrickblum@drsblumdesai.direct.emds.com

Organizations & group practices 1

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1437173580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N. RIVER STREET",
            "address_2": "SUITE 230",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022643",
            "telephone_number": "570-826-0526",
            "fax_number": "570-824-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N. RIVER STREET",
            "address_2": "SUITE 230",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022643",
            "telephone_number": "570-826-0526",
            "fax_number": "570-824-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "RICHARD",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "17389E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.