R. Matthew Bloebaum, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

L9628 Issued in TX

Practice address

8955 Highway 6 N
#100
Houston, TX 77095-2320

Phone

(281) 858-5708

Fax

(281) 858-6339

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Indiana University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Asthma and Allergy AssociatesGroup PAC ID 7113902842, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southwest Asthma & Allergy Associates

  • Allergy & Immunology Physician
  • Houston, TX
  • NPI 1033139498
  Medicare reassignment Care Compare group NPD
• Southwest Asthma & Allergy Associates

  • Specialist
  • Houston, TX
  • NPI 1346406725
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1467408039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822790",
            "telephone_number": "713-596-8526",
            "fax_number": "713-596-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 HIGHWAY 6 N",
            "address_2": "#100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952320",
            "telephone_number": "281-858-5708",
            "fax_number": "281-858-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOEBAUM",
        "first_name": "R. MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L9628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "1043645",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3558990",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171597101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7912611",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3687922",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Block, FNP-C
• Stacey Nan Block, D.D.S.
• Angela Blocker, LMFT
• Gina Marie Blocker, D.O.
• Kyndle Blocker
• Gabriel L Blog, CRNA
• Donna Bloodworth, MD
• Stephanie Leona Bloodworth, PSYD, LMFT-S
• Bloom & See Counseling and Wellness Boutique, PLLC
• Bloom Academy Inc.

• Allergy & Immunology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.