Michael Scott Bloom, M.D.

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X

License

35066075B Issued in OH

Practice address

1020 Woodman Dr Ste 105
Dayton, OH 45432-1446

Phone

(937) 723-7772

Fax

(937) 226-9605

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, OH2 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

Specialty

Ophthalmology

Education

Ohio State University College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bloom Family Eye Surgeons LTDGroup PAC ID 9335108554, 8 clinicians

Whitewater Eye Centers LLCGroup PAC ID 6608914072, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score

83.19 of 100Reported as group

Quality

96.18

Improvement activities

40

Cost

49.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbloom305121@ecommunitydirect.com
• Direct secure messaging: mbloom305121@reidhealth.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mbloom@whitewater.intellechartdirect.net
• Direct secure messaging: michael.bloom.p1@direct.bfes.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.

• Bloom Family Eye Surgeons LTD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Dayton, OH
  • NPI 1649342890
  Medicare reassignment Care Compare group NPD
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1962635052
  Medicare reassignment Care Compare group NPD
• Cei Physicians PSC LLC

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1942296298
  Medicare reassignment NPD
• Bloom Family Eye Surgeons

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1174850846
  NPD Authorized official
• Cei Physicians PSC, LLC

  • Ambulatory Surgical Clinic/Center
  • Richmond Heights, OH
  • NPI 1891406328
  NPD
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greenfield, IN
  • NPI 1750019279
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Greenville, OH
  • NPI 1548493562
  NPD (past)

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1639128689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321446",
            "telephone_number": "937-723-7772",
            "fax_number": "937-226-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR STE 105",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321446",
            "telephone_number": "937-723-7772",
            "fax_number": "937-226-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "207W00000X",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OH",
            "license": "35066075B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111115",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099223",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiloh L Blommel, LPN
• Bloom Family Eye Surgeons LTD
• Deena Bloom
• Jeffrey Bloom, DO
• Jennifer R Bloom, CNP
• Robert Todd Bloom, M.D.
• Daniel F Blosser, LPC
• Rachel Blosser
• Renee Katherine Blossom
• Katherine Marie Blouin, LISW

• Pediatric Ophthalmology and Strabismus Specialist Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Ophthalmology and Strabismus Specialist Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.