Individual provider Active NPI

Garrett Blumberg

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1972967362
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R7176 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone
(214) 590-8000
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X R7176 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181002003742 TX Practitioner - Emergency Medicine 9537411574 Reassigns benefits to 5 organizations
I20200611002506 AZ Practitioner - Emergency Medicine 9537411574 Reassigns benefits to 1 organization
I20201029002177 CA Practitioner - Emergency Medicine 9537411574 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Estrellas Emergency Physicians LLCGroup PAC ID 5193002954, 38 clinicians
Temecula Valley Emergency Physicians IncGroup PAC ID 2769619097, 20 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2280

Hospital & facility affiliations

  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.89
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Aug 23, 2018 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2019 Accepting new patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Sierra Estrellas Emergency Physicians LLC Emergency Medicine CurrentSince Apr 28, 2020 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Temecula Valley Emergency Physicians, Inc Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Apr 6, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Aug 23, 2018 Accepting new patients
Yuma Regional Medical Center Past Accepting new patients

Locations

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3500 Gaston Ave
Dallas, TX 75246

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 13

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.

View all 13

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1972967362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907201",
            "telephone_number": "214-590-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMBERG",
        "first_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R7176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.