Active NPI
Jonathan C. Blum, MD
- Internal Medicine Physician
- New Martinsville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101249166
- Practice address
- 3 E Benjamin Dr
New Martinsville, WV 26155-2705 - Phone
- (304) 455-8000
- NPI assigned
- Jun 16, 2008
- Last updated
- Oct 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25288 | WV | |
| Internal Medicine Physician | 207R00000X | 0101249166 | VA | Primary |
Addresses
Primary practice location
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Mailing address
107 Sherwood CT
New Martinsville, WV 26155-9419
Phone (804) 901-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120
9460 Amberdale Dr
Suite G2
North Chesterfield, VA 23236-1259
Phone (804) 728-2278
Hospital & facility affiliations
- Commonwealth Home Care
- Ascend Hospice
- Affinity Care of Virginia LLC
- Our Lady Of Hope Health Center
- Autumn Care of Mechanicsville
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Team LLC | Internal Medicine | Current | Accepting new patients |
| Vituity-Virginia Hospitalists PC | Current | Accepting new patients | |
| Melodys Consulting LLC | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| SNF LTC Partners of Virginia | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2729 King St
Alexandria, VA 22302
Phone (703) 744-0155
2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
9460 Amberdale Dr
Ste G2
North Chesterfield, VA 23236
Phone (804) 728-2278
13700 N Gayton Rd
Richmond, VA 23233
Phone (804) 360-1960
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595
2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Our Lady of Hope Health Center, Inc | Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Mar 1, 2025 Mar 1, 2025 Mar 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1477559847
Adp of the SNF, Corporate Director, Operational/Managerial Control
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Chester, VA
- NPI 1528538873
-
- Family Medicine Physician
- Richmond, VA
- NPI 1982231148
-
- Internal Medicine Physician
- Woodbridge, VA
- NPI 1417792599
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Hospitalist Physician
- Richmond, VA
- NPI 1518611011
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Newport News, VA
- NPI 1699373449
-
dba Autumn Care of Mechanicsville
- Skilled Nursing Facility
- Mechanicsville, VA
- NPI 1366789075
Nursing home
-
dba Ascend Hospice
- Community Based Hospice Care Agency
- Glen Allen, VA
- NPI 1366620486
-
- Skilled Nursing Facility
- Richmond, VA
- NPI 1477559847
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1497915235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SHERWOOD CT",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261559419",
"telephone_number": "804-901-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E BENJAMIN DR",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552705",
"telephone_number": "304-455-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "JONATHAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "25288",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101249166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.