Organization Active NPI

Bloom Medical Care, LLC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497451884
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BLOOM MEDICAL CARE, LLC
Practice address
10107 Louetta Rd Ste 105
Houston, TX 77070-1574
Phone
(210) 992-2654
NPI assigned
Feb 7, 2023
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Abimbola T Ayorinde
Title
Founder/Ceo
Phone
(512) 999-2453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

10107 Louetta Rd Ste 105
Houston, TX 77070-1574

Mailing address

10107 Louetta Rd Ste 105
Houston, TX 77070-1574
Phone (210) 992-2654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230828001549 TX Part B Supplier - Clinic/Group Practice 0840653671 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2321813Bloom Medical Care LLC10107 Louetta Rd., Suite 105, Houston, TX 77070Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1497451884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 LOUETTA RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701574",
            "telephone_number": "210-992-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 LOUETTA RD STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701574",
            "telephone_number": "210-992-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "AYORINDE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "512-999-2453"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.