Individual provider Active NPI

Jonathan C. Blum, MD

  • Internal Medicine Physician
  • New Martinsville, WV
National Provider Identifier
1497915235
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101249166 Issued in VA
Practice address
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone
(304) 455-8000
NPI assigned
Jun 16, 2008
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000440 VA Practitioner - Internal Medicine 6608053038 Reassigns benefits to 5 organizations

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
SNF LTC Partners of VirginiaGroup PAC ID 4789014150, 28 clinicians
Melodys Consulting LLCGroup PAC ID 5092053694, 15 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Team LLC Internal Medicine CurrentSince Dec 22, 2025 Accepting new patients
Vituity-Virginia Hospitalists PC CurrentSince Nov 1, 2022 Accepting new patients
Melodys Consulting LLC CurrentSince Dec 26, 2025 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
SNF LTC Partners of Virginia CurrentSince Nov 1, 2024 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.

FacilityTypeRoleSince
Our Lady of Hope Health Center, IncRichmond, VA, CCN 495311 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.

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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.