Individual provider Active NPI

Noah M Blum, D.P.M.

  • Podiatrist
  • Fort Pierce, FL
National Provider Identifier
1528075041
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P02942 Issued in FL
Practice address
2316 Nebraska Ave
Fort Pierce, FL 34950-4824
Phone
(772) 489-4343
Fax
(772) 489-4543
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P02942 FL Primary

Addresses

Primary practice location

2316 Nebraska Ave
Fort Pierce, FL 34950-4824

Mailing address

2316 Nebraska Ave
Fort Pierce, FL 34950-4824
Phone (772) 489-4343

Other identifiers 2

IdentifierTypeStateIssuer
65763OtherFLBC/BS
340315700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001071 FL Practitioner - Podiatry 2264404250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2316 Nebraska Ave
Fort Pierce, FL 34950-4824
Phone (772) 489-4343

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions36
Removal of nail tissue735
Removal or shaving of skin growth622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P02942FLMDPodiatrist
1462TXMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Noah M Blum DPM PA Podiatrist CurrentSince Jul 1, 2007 Accepting new patients
Perrone and Goggin DPM LC Podiatrist Past Accepting new patients
Home Foot Care, LLP Past Accepting new patients
Joseph L. Sindone, DPM, PA Podiatrist Past Accepting new patients
Merritt Island Foot & Ankle Inc Podiatrist PastSince Sep 8, 1999 Accepting new patients
Lepow Podiatric Medical Associates Podiatrist Past Accepting new patients

Locations

2316 Nebraska Ave
Fort Pierce, FL 34950
Phone (772) 489-4343

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1528075041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504824",
            "telephone_number": "772-489-4343",
            "fax_number": "772-489-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NEBRASKA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504824",
            "telephone_number": "772-489-4343",
            "fax_number": "772-489-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "NOAH",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P02942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "65763",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340315700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.