Ronald Bloom, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01035959A Issued in IN

Practice address

8205 E 56TH St
Suite 250
Indianapolis, IN 46216-1003

Phone

(317) 353-8985

Fax

(317) 353-2389

NPI assigned

Sep 13, 2005

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Indiana Nephrology and Internal Medicine, P.C.

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1669493722
  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1740275023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 N MERIDIAN ST",
            "address_2": "SUITE 225",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605378",
            "telephone_number": "317-564-2134",
            "fax_number": "317-574-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 E 56TH ST",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161003",
            "telephone_number": "317-353-8985",
            "fax_number": "317-353-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01035959A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom at Willow, LLC
• Bloom Dental - Geist, LLC
• Bloom Dental-Fletcher Place, LLC
• Edward J Bloom, DPT
• Lisa F Bloom, NNP
• Bloomed
• Ainsley Katherine Bloomer, MD
• Bloomfield Senior Living of Glen, LLC
• Bloomfield Senior Living of Park, LLC
• Alec James Bloomfield, PHARMD

• Nephrology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.