Individual provider Active NPI

Steven Allen Blum, M.D.

  • Hospitalist Physician
  • Roseburg, OR
National Provider Identifier
1619990108
Registry record updated Oct 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD21400 Issued in OR
Practice address
913 NW Garden Valley Blvd
Roseburg, OR 97470-6523
Phone
(541) 440-1000
Fax
(541) 677-3040
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2017

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 MD21400 OR
Hospitalist Physician 208M00000X MD21400 OR Primary

Addresses

Primary practice location

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523

Mailing address

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523
Phone (541) 440-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071022000800 OR Practitioner - HospitalistPractitioner - Internal Medicine 6305945833 Reassigns benefits to 2 organizations
I20230228002786 VI Practitioner - Internal Medicine 6305945833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21400ORMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt CurrentSince Oct 3, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 12, 2023 Accepting new patients
Adapt CurrentSince Aug 10, 2019 Accepting new patients
Adapt CurrentSince Aug 10, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Feb 12, 2023 Accepting new patients
Douglas Medical Clinic PC Internal Medicine Past Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Locations

548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241

548 SE Jackson St
Ste 3
Roseburg, OR 97470

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: sblum324552@direct.ochin.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1619990108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706523",
            "telephone_number": "541-440-1000",
            "fax_number": "541-677-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706523",
            "telephone_number": "541-440-1000",
            "fax_number": "541-677-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21400",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD21400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.