Individual provider Active NPI

Jared Blum

  • Foot & Ankle Surgery Podiatrist
  • Palm Beach Gardens, FL
National Provider Identifier
1740800242
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4511 Issued in FL
Practice address
11380 Prosperity Farms Rd Ste 221E
Palm Beach Gardens, FL 33410-3465
Phone
(215) 499-5892
NPI assigned
Apr 24, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4511 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd Ste 221E
Palm Beach Gardens, FL 33410-3465

Mailing address

11380 Prosperity Farms Rd Ste 221E
Palm Beach Gardens, FL 33410-3465
Phone (215) 499-5892

Other practice location 1

2650 S Military Trl Ste 9
West Palm Beach, FL 33415-7506
Phone (561) 964-1178

Other practice location 2

6609 W Woolbright Rd Ste 418
Boynton Beach, FL 33437-0917
Phone (561) 244-4980

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230823004605 FL Practitioner - Podiatry 9931501558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Foot and Ankle IncGroup PAC ID 1456379056, 8 clinicians

Practice addresses (Care Compare)

11380 Prosperity Farms Rd
Suite 221E
Palm Beach Gardens, FL 33410-3465
Phone (561) 848-7722

2650 S Military TRL
Suite 9
West Palm BCH, FL 33415-7506
Phone (561) 964-1178

6609 W Woolbright Rd
Suite 418
Boynton Beach, FL 33437-0910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue207
Removal of skin lesions1-10
Removal of nail tissue160
Removal or shaving of skin growth127
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4511FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Foot & Ankle Inc Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Palm Beach Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

6609 Woolbright Rd
Ste 418
Boynton Beach, FL 33437
Phone (561) 244-4980

11380 Prosperity Farms Rd
Ste 221E
Palm Beach Gardens, FL 33410
Phone (561) 371-1690

2650 S Military Trl
Ste 9
West Palm Beach, FL 33415
Phone (561) 964-1178

Interoperability endpoints

  • Direct secure messaging: jblum828659@direct.sw.org

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.

Hospital & facility affiliations 5

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1740800242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 221E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103465",
            "telephone_number": "215-499-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 221E",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103465",
            "telephone_number": "215-499-5892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 S Military Trl Ste 9",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334157506",
            "country_code": "US",
            "telephone_number": "561-964-1178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6609 W Woolbright Rd Ste 418",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334370917",
            "country_code": "US",
            "telephone_number": "561-244-4980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.