Active NPI
Jeffrey D Blum, MD
- Cardiovascular Disease Physician
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME64599
- Practice address
- 1 W Sample Rd Ste 106
Deerfield Beach, FL 33064-3547 - Phone
- (954) 320-2885
- Fax
- (954) 783-9117
- NPI assigned
- Oct 14, 2005
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME64599 | FL | Primary |
Addresses
Primary practice location
1 W Sample Rd Ste 106
Deerfield Beach, FL 33064-3547
Mailing address
1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 320-2885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373641500 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Eastern Virginia Medical School, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 W Sample Rd
Suite 106
Deerfield Beach, FL 33064-3547
Phone (954) 320-2885
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64599 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Hospital District | Cardiovascular Disease | Current | Accepting new patients |
| North Broward Hospital District | Current | Accepting new patients | |
| North Broward Hospital District | Current | Accepting new patients | |
| Greater Ft Lauderdale Heart Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
3100 Coral Hills Dr
Ste 302
Coral Springs, FL 33065
Phone (954) 341-5034
1 W Sample Rd
Ste 106
Deerfield Beach, FL 33064
Phone (954) 320-2885
1 W Sample Rd
Ste 301
Deerfield Beach, FL 33064
Phone (954) 320-2889
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
dba BH Physicians North
- Neurological Surgery Physician
- Fort Lauderdale, FL
- NPI 1801581129
-
- Clinical Cardiac Electrophysiology Physician
- Fort Lauderdale, FL
- NPI 1366273054
Cardiovascular Disease
-
dba Broward Health Annie L. Weaver Health Center Pharmacy
- Community/Retail Pharmacy
- Pompano Beach, FL
- NPI 1699709766
-
- Cardiovascular Disease Physician
- Fort Lauderdale, FL
- NPI 1740279249
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Broward Health Lighthouse Point ER
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
dba Broward Health North
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1669461463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NW 49TH ST STE 125",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093750",
"telephone_number": "954-320-2885",
"fax_number": "954-783-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W SAMPLE RD STE 106",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330643547",
"telephone_number": "954-320-2885",
"fax_number": "954-783-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "JEFFREY",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME64599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373641500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.