Individual provider Active NPI

Benjamin Ariel Bloom, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1871020347
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1021229 Issued in MA
Practice address
22 S Green St
Baltimore, MD 21201
Phone
(410) 328-8667
NPI assigned
May 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1021229 MA Primary

Addresses

Primary practice location

22 S Green St
Baltimore, MD 21201

Mailing address

110 S Paca St FL 6
Baltimore, MD 21201-1642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200709003694 PA Practitioner - Emergency Medicine 5092082677 Reassigns benefits to 3 organizations
I20250515000272 MA Practitioner - Emergency Medicine 5092082677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Maryland School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Sep 11, 2023 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Sep 11, 2023 Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Jul 6, 2020 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 6, 2020 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Chestnut Hill Clinic Company, LLC CurrentSince Jul 6, 2020 Accepting new patients
Cambridge Public Health Commission CurrentSince May 15, 2025 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jul 6, 2020 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Phoenixville Clinic Company LLC Emergency Medicine Current Accepting new patients
University of Maryland Surgical Associates, PA Past Accepting new patients

Locations

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

1316 W Ontario St
Fl 10
Philadelphia, PA 19140
Phone (215) 707-5435

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4
  • Direct secure messaging: bbloom124645@direct.challiance.masshiway.net

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1871020347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREEN ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "410-328-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "BENJAMIN",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-16",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1021229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.