Individual provider Active NPI

Geoffrey Lowell Bloomfield, M.D.

  • Surgery Physician
  • Bel Air, MD
National Provider Identifier
1679570410
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0065532 Issued in MD
Practice address
520 Upper Chesapeake Dr
Suite 412
Bel Air, MD 21014-4339
Phone
(443) 643-4400
Fax
(443) 643-4404
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0065532 MD Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr
Suite 412
Bel Air, MD 21014-4339

Mailing address

520 Upper Chesapeake Dr
Suite 412
Bel Air, MD 21014-4339
Phone (443) 643-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20080509000566 MD Practitioner - General Surgery 5496740771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Chesapeake Surgical Associates, LLCGroup PAC ID 8729181805, 22 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 412
Bel Air, MD 21014-4381
Phone (443) 643-4400

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)23
Hernia repair (minimally invasive)17
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065532MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Surgical Associates, LLC Surgery CurrentSince Apr 1, 2017 Accepting new patients
Upper Chesapeake Surgical Associates, LLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 412
Bel Air, MD 21014
Phone (443) 643-4400

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

515 S Tollgate Rd
Ste 100
Bel Air, MD 21014
Phone (443) 643-3050

421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360

Interoperability endpoints

  • Direct secure messaging: gbloomfield651537@direct.umm.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1679570410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 412",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-4400",
            "fax_number": "443-643-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR",
            "address_2": "SUITE 412",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144339",
            "telephone_number": "443-643-4400",
            "fax_number": "443-643-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "GEOFFREY",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0065532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.