Individual provider Active NPI

Jonathan Bloom, M.D.

  • Urology Physician
  • Rochester, NY
National Provider Identifier
1972904423
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0083134 Issued in MD
Practice address
400 White Spruce Blvd Ste B
Rochester, NY 14623
Phone
(585) 275-2838
Fax
(585) 424-1338
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 298018 NY
Urology Physician 208800000X D0083134 MD Primary

Addresses

Primary practice location

400 White Spruce Blvd Ste B
Rochester, NY 14623

Mailing address

601 Elmwood Ave Box 656
Rochester, NY 14642-3481
Phone (585) 275-2838

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (315) 521-7650

Other practice location 2

10 Center Dr 1-5940W
Bethesda, MD 20892-1530
Phone (240) 383-9577

Other practice location 3

10 S Pointe Lndg Ste 130
Rochester, NY 14606-3481
Phone (585) 275-2838

Other practice location 4

601 Elmwood Ave
Rochester, NY 14642-1530
Phone (585) 275-2838

Other practice location 5

156 West Ave
Brockport, NY 14420-1229
Phone (585) 275-2838

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbloom47333@direct.urmc.rochester.edu Direct
Direct Messaging Address jbloom47333@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190618000361 NY Practitioner - Urology 5294092425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Urology AssociatesGroup PAC ID 4880642537, 63 clinicians

Practice addresses (Care Compare)

10 S Pointe LNDG
Suite 130
Rochester, NY 14606-3481
Phone (585) 227-2550

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 275-2838

156 W Ave
Brockport, NY 14420-1229
Phone (585) 227-2550

158 Sawgrass Dr
FL 2
Rochester, NY 14620-4648
Phone (585) 275-2838

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4507

601 Elmwood Ave Box
Suite 278911
Rochester, NY 14642-0001

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • F F Thompson Hospital Hospital, Canandaigua, NY, CCN 330074

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
58.11
Promoting interoperability
100
Improvement activities
40
Cost
78.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083134MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urology Associates Urology CurrentSince Aug 1, 2019 Accepting new patients
University of Rochester OBGYN Subspecialties Past Accepting new patients
Rochester General Hospital PastSince Sep 1, 2019 Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

601 Elmwood Ave
#656
Rochester, NY 14642
Phone (585) 273-1904

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

400 White Spruce Blvd
Ste B
Rochester, NY 14623
Phone (585) 244-4771

158 Sawgrass Dr
Fl 2
Rochester, NY 14620
Phone (585) 275-1230

10 S Pointe Lndg
Ste 130
Rochester, NY 14606
Phone (585) 227-2550

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.

Hospital & facility affiliations 4

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": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1972904423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 656",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146423481",
            "telephone_number": "585-275-2838",
            "fax_number": "585-424-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITE SPRUCE BLVD STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14623",
            "telephone_number": "585-275-2838",
            "fax_number": "585-424-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "315-521-7650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Center Dr 1-5940W",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208921530",
            "country_code": "US",
            "telephone_number": "240-383-9577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 S Pointe Lndg Ste 130",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146063481",
            "country_code": "US",
            "telephone_number": "585-275-2838",
            "fax_number": "585-227-4526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146421530",
            "country_code": "US",
            "telephone_number": "585-275-2838",
            "fax_number": "585-227-4526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 West Ave",
            "address_purpose": "LOCATION",
            "city": "Brockport",
            "state": "NY",
            "postal_code": "144201229",
            "country_code": "US",
            "telephone_number": "585-275-2838",
            "fax_number": "585-227-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "298018",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0083134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbloom47333@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbloom47333@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.