Katherine Alexis Bloom, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

047707 Issued in CT

Practice address

55 Walls Dr
Suite 405
Fairfield, CT 06824-5163

Phone

(203) 259-7070

Fax

(203) 254-7402

NPI assigned

May 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Allergy/Immunology

Education

Albert Einstein College of Medicine of Yeshiva University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Care of Fairfield County LLCGroup PAC ID 4688579980, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.bloom@allergyasthmacareoffairfieldco.chartmakerdirect.com

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.

• Allergy and Asthma Care of Fairfield County, LLC

  • Allergy & Immunology Physician
  • Fairfield, CT
  • NPI 1710098645
  Medicare reassignment Care Compare group NPD
• MVC CT

  dba Metro Vein Centers

  • Surgery Physician
  • Stamford, CT
  • NPI 1487397600
  NPD (past)

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

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1760697635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "SUITE 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DR",
            "address_2": "SUITE 405",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-259-7070",
            "fax_number": "203-254-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KATHERINE",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "047707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil J. Blanco, MD
• Stacey Lee Blase, PHD
• Seth Barak Blattman, M.D.
• Barbara Jacqueline Blau, LPC, NCC, JD, MA
• Nicholas Alfred Blondin, M.D.
• Todd Evan Bloom, M.S., D.D.S.
• Blooming Bonds Therapy LLC
• Elaine Bluestein, LCSW
• Harvey Jay Bluestein, M.D.
• John Boamah Jr., DC

• Allergy & Immunology Physician in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.