Active NPI
Steven L. Blum, MD
- Anesthesiology Physician
- Skokie, IL
National Provider Identifier
1730111329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-085915
- Practice address
- 9600 Gross Point Rd
Skokie, IL 60076-1214 - Phone
- (847) 677-9600
- NPI assigned
- Jul 6, 2006
- Last updated
- Mar 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-085915 | IL | Primary |
| Pain Medicine Physician | 208VP0000X | 036-085915 | IL |
Addresses
Primary practice location
9600 Gross Point Rd
Skokie, IL 60076-1214
Mailing address
2650 Ridge Ave RM 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050025825 | Other | IL | MEDICARE RAILROAD |
| 363117700 | Other | IL | OTHER INS PROVIDER NUMBER |
| 363117700006 | Other | IL | TRICARE |
| 603710503 | Other | IL | US DEPARTMENT OF LABOR |
| N276157 | Other | IL | WELLCARE CLAIMS |
| 036-085915 | Medicaid | IL | |
| 100367930 | Other | IL | INDIANA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-085915 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists SC | Anesthesiology | Past | Accepting new patients |
| Glenbrook Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1619143997
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1730111329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE RM 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040",
"fax_number": "847-733-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 GROSS POINT RD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-677-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "STEVEN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-085915",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IL",
"license": "036-085915",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "050025825",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER INS PROVIDER NUMBER",
"identifier": "363117700",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "363117700006",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "603710503",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE CLAIMS",
"identifier": "N276157",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-085915",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA MEDICAID",
"identifier": "100367930",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.