Allen David Bloom, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036067856 Issued in IL

Practice address

2040 Ogden Ave
Suite 115
Aurora, IL 60504-7206

Phone

(630) 585-0200

Fax

(630) 585-7396

NPI assigned

Aug 25, 2006

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 IL

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

General Surgery

Education

Northwestern University Feinberg Medical School, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Rush-Copley Medical Group NFPGroup PAC ID 7618864877, 101 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abloom119140@direct.rush.rush-health.com

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.

• Rush University Medical Group

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Surgery

  Medicare reassignment Care Compare group NPD
• Rush-Copley Medical Group, NFP

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1093075848

  Surgery

  Medicare reassignment Care Compare group NPD
• Copley Memorial Hospital, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Aurora, IL
  • NPI 1619466034
  Medicare reassignment NPD
• Rush University Medical Center

  • Internal Medicine Physician
  • Oak Brook, IL
  • NPI 1801375696
  NPD
• Rush-Copley Medical Group

  • Gastroenterology Physician
  • Yorkville, IL
  • NPI 1841579893
  NPD
• Copley Memorial Hospital Inc.

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1629003165
  NPD (past)
• Rush Copley Medical Group

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1194836247
  NPD (past)

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

• Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1295882561
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1851409387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 115",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047205",
            "telephone_number": "630-585-0200",
            "fax_number": "630-585-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE",
            "address_2": "SUITE 115",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047206",
            "telephone_number": "630-585-0200",
            "fax_number": "630-585-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "ALLEN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036067856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067856",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Blackwell, PT, PCS
• John N Blair, MD
• Cortney Blaudow
• Kimberly Lynell Blocker, DT
• Nicholas James Bloniarz
• Jamie Lynn Blough, COTA/L
• Blue Collar Wellness PLLC
• Megan Blum
• Kerrie Blume
• Wayne Blume, R.N.

• Surgery Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.