Benjamin Harris Bloom, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-024324-E Issued in PA

Practice address

2 Penn Blvd
Suite 117
Philadelphia, PA 19144-1416

Phone

(215) 849-0422

Fax

(215) 849-1741

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Ophthalmology

Education

Tufts University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accuvision Eye MD Caregroup, PCGroup PAC ID 0244215648, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: benjamin.bloom.p1@direct.cdestefano.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accuvision Eye MD Caregroup, PC

  • Ophthalmology Physician
  • Ardmore, PA
  • NPI 1801863915
  Medicare reassignment Care Compare group NPD
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment NPD
• Main Line Ophthalmology Associates

  • Ophthalmology Physician
  • Ardmore, PA
  • NPI 1316978810
  NPD (past)

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

• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578676359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PENN BLVD",
            "address_2": "SUITE 117",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441416",
            "telephone_number": "215-849-0422",
            "fax_number": "215-849-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PENN BLVD",
            "address_2": "SUITE 117",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441416",
            "telephone_number": "215-849-0422",
            "fax_number": "215-849-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "BENJAMIN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD-024324-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000915192-0007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Blomain, MPH, RD, LDN
• Alexandra Kerrin Blomfield, MD
• Bloom Behavioral Connections LLC
• Bloom Eye Associates, LTD.
• Anita R Bloom, MA, FAAA
• Eric J Bloom, MD
• Joyce M Bloom, CRNA
• Julianna S Bloom, PH.D.
• Lauren Christine Bloom
• Lawrence Bloom, M.D.

• Ophthalmology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.