Individual provider Active NPI

Kurt Bloomstrand, MD

  • Emergency Medicine Physician
  • Urbana, IL
National Provider Identifier
1710326350
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
125.062907 Issued in IL
Practice address
1400 W Park St
Osf Healthcare Heart of Mary Medical Center
Urbana, IL 61801-2334
Phone
(217) 337-2000
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125.062907 IL Primary

Addresses

Primary practice location

1400 W Park St
Osf Healthcare Heart of Mary Medical Center
Urbana, IL 61801-2334

Mailing address

1400 W Park St
Osf Healthcare Heart of Mary Medical Center
Urbana, IL 61801-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151110002949 IL Practitioner - Emergency Medicine 3971824814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians
Firstline Healthcare PLLCGroup PAC ID 0042702144, 6 clinicians

Practice addresses (Care Compare)

1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000

2043 S Neil St
Champaign, IL 61820-7219
Phone (217) 693-6220

Hospital & facility affiliations

  • Osf Heart of Mary Medical Center Hospital, Urbana, IL, CCN 140113

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as group
Quality
79.32
Improvement activities
40
Cost
54.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.062907ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iems Physician Services PLLC Emergency Medicine CurrentSince Apr 20, 2024 Accepting new patients
Firstline Healthcare PLLC CurrentSince Sep 28, 2025 Accepting new patients
Firstline Healthcare PLLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Home Physician Care, LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients

Locations

303 S Staley Rd
Champaign, IL 61822
Phone (770) 554-9773

2043 S Neil St
Champaign, IL 61820
Phone (217) 337-3852

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14489/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1710326350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PARK ST",
            "address_2": "OSF HEALTHCARE HEART OF MARY MEDICAL CENTER",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PARK ST",
            "address_2": "OSF HEALTHCARE HEART OF MARY MEDICAL CENTER",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012334",
            "telephone_number": "217-337-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMSTRAND",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125.062907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.