Keith D Bloom, MD

Key facts

NPI

1831177948

Entity type

Individual (NPI type 1)

Primary specialty

Urology Physician 208800000X

License

P1967 (TX)

Practice address

7701 Las Colinas RDG Ste 460
Irving, TX 75063-8081

Phone

(866) 367-8768

Fax

(817) 541-9301

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Urology Partners of North Texas, PLLC Urology Physician · Arlington, TX · NPI 1528537180
  Medicare reassignment Care Compare group NPD TX · UROLOGY
• Urology Partners of North Texas, PLLC Urology Physician · San Antonio, TX · NPI 1619827912
  Care Compare group NPD (past) UROLOGY
• Urology Associates of North Texas LLP Urology Physician · Weatherford, TX · NPI 1407849961
  NPD (past) UROLOGY

Hospital & facility affiliations 6

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

• Baylor Medical Center at Irving Psychiatric Hospital Unit · Irving, TX · NPI 1114268471
  Care Compare affiliation Hospital
• Baylor Medical Center at Irving General Acute Care Hospital · Irving, TX · NPI 1992700983
  Care Compare affiliation Hospital
• Irving Coppell Surgical Hospital Special Hospital · Irving, TX · NPI 1992772008
  Care Compare affiliation Hospital
• Irving-Coppell Surgical Hospital LLP General Acute Care Hospital · Irving, TX · NPI 1669569984
  Care Compare affiliation Hospital
• Texas Health Harris Methodist Hospital Hurst-Euless-Bedford General Acute Care Hospital · Bedford, TX · NPI 1104845015
  Care Compare affiliation Hospital
• Usmd Hospital at Arlington, LLC General Acute Care Hospital · Arlington, TX · NPI 1659352987
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Urology

Education

Loyola University of Chicago, Stritch School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Partners of North Texas, PLLC (91 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usmd Hospital at Arlington L P Hospital · Arlington, TX · CCN 450872
• Baylor Scott & White Medical Center at Irving Hospital · Irving, TX · CCN 450079
• Baylor Surgical Hospital at Las Colinas Hospital · Irving, TX · CCN 450874
• Texas Health Harris Methodist Hurst-Euless-Bedford Hospital · Bedford, TX · CCN 450639

Merit-based Incentive Payment System (MIPS)

Final score

84.29 of 100 (group)

Quality

91.85

Promoting interoperability

77

Improvement activities

40

Cost

74.94

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.bloom.1@18564.direct.athenahealth.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 17, 2024.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1831177948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 LAS COLINAS RDG STE 460",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638081",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Irving, TX · Urology Physician in Texas