Individual provider Active NPI

Gary Blum, M.D.

  • Orthopaedic Hand Surgery Physician
  • Honolulu, HI
National Provider Identifier
1912102500
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
M6535 Issued in TX
Practice address
1380 Lusitana St
Suite 608
Honolulu, HI 96813-2449
Phone
(808) 536-2261
Fax
(808) 538-3957
NPI assigned
Jun 15, 2007
Last updated
May 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X M6535 TX Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 608
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Suite 608
Honolulu, HI 96813-2449
Phone (808) 536-2261

Other identifiers 1

IdentifierTypeStateIssuer
1912102500MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20081010000264 HI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1355419821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
All Access Ortho Maui LLCGroup PAC ID 4789086265, 4 clinicians
All Access Ortho Oahu LLCGroup PAC ID 9638618499, 20 clinicians

Practice addresses (Care Compare)

Makawao, HI 96768
Phone (808) 356-5699

1401 S Beretania St
Honolulu, HI 96814-1871
Phone (808) 356-5699

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)31
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6535TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Services Company, LLP CurrentSince Jan 1, 2009 Accepting new patients
All Access Ortho LLC CurrentSince Nov 1, 2013 Accepting new patients
All Access Ortho Maui LLC CurrentSince Sep 2, 2020 Accepting new patients
All Access Ortho Oahu LLC CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Associates of Hawaii, LLP CurrentSince Jan 1, 2009 Accepting new patients

Locations

1380 Lusitana St
Ste 608
Honolulu, HI 96813
Phone (808) 532-0315

1401 S Beretania St
Ste 102
Honolulu, HI 96814
Phone (808) 356-5699

1401 S Beretania St
Ste 750
Honolulu, HI 96814
Phone (808) 521-8183

30 Kupaoa St
#A203
Makawao, HI 96768
Phone (808) 283-3570

Interoperability endpoints

  • Direct secure messaging: gary.blum@hawaiihie.medicity.net
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_AAOM

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1912102500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-536-2261",
            "fax_number": "808-538-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-536-2261",
            "fax_number": "808-538-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "M6535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912102500",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.