John Karl Blum, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E4213 Issued in TX

Practice address

1618 West 18TH St
Houston, TX 77008-1525

Phone

(713) 802-4357

Fax

(713) 802-2659

NPI assigned

Nov 9, 2006

Last updated

Oct 13, 2008By 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

Other identifiers 4

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

Practice roles

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.

• John K Blum

  dba My Family Clinic

  • Family Medicine Physician
  • Houston, TX
  • NPI 1356469092
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1437220886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 WEST 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081525",
            "telephone_number": "713-802-4357",
            "fax_number": "713-802-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 WEST 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081525",
            "telephone_number": "713-802-4357",
            "fax_number": "713-802-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "JOHN",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP TPI",
            "identifier": "084042301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10015408",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID IND. TPI",
            "identifier": "135117307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID THSTEPS TPI",
            "identifier": "135117302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Bluitt
• Mariela Anabel Blum Murphy, M.D.
• Anna Blum
• Charles M Blum, DDS
• Elyssa Blum, OTR
• Kyle Blum, MD, MS
• Lindsay Blum, FNP-BC
• Megan A. Blum, PA
• Peggy Blum, AU.D.
• Philip S Blum, MD

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.