Kerry Lynn Blum

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

39003 Issued in CO

Practice address

3531 S Logan
D347
Englewood, CO 80110-3700

Phone

(303) 321-9700

Fax

(303) 953-9211

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Kerri L. Blum Professional name

Medicare fee-for-service enrollment

Enrolled in CO

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

Family Practice

Education

Ohio State University College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score

85.96 of 100Reported as group

Quality

78.58

Promoting interoperability

100

Improvement activities

40

Cost

74.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kblum1826957@adventhealth.direct-ci.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.

• Portercare Adventist Health System

  dba Affiliated Ear, Nose & Throat Physicians

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  Medicare reassignment Care Compare group NPD
• Carepoint P.C.

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1275516346

  Hospitalist

  Medicare reassignment NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Englewood, CO
  • NPI 1265806178
  Medicare reassignment NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1669115747
  NPD
• Portercare Adventist Health System

  dba Centura Health Physician Group Church Ranch Women's Health

  • Obstetrics & Gynecology Physician
  • Westminster, CO
  • NPI 1093124422
  NPD
• Portercare Adventist Health System

  dba AdventHealth Medical Group Urology at Lakewood

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Family Prac Inpatien Inc PC

  • Hospitalist Physician
  • Englewood, CO
  • NPI 1659477198
  NPD (past)

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

• Portercare Adventist Health System

  dba Adventhealth Porter

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1801800594
  Care Compare affiliation

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1982787974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S DOWNING ST",
            "address_2": "D347",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105817",
            "telephone_number": "303-765-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 S LOGAN",
            "address_2": "D347",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801103700",
            "telephone_number": "303-321-9700",
            "fax_number": "303-953-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "39003",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00632046",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46580719",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "BLUM",
            "middle_name": "L.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sierra J Blizzard
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• Blue Mesa Dental
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• Blue Sky Outpatient Neurology, LLC
• Hanna Bobrysheva, MD
• Elena Isabela Bodoni, DDS
• Jessica Jean Bohlinger
• Marietta Bohn
• James Boland, M.D.

• Hospitalist Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.