BLOOM GERIATRICS LLC
NPI 1013499623
Internal Medicine in Chester, VA

Active since August 30, 2018
1714 E HUNDRED RD STE 101, CHESTER, VA 23836(804) 590-6750 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2019, Aug 9, 2019, Jul 19, 2019 and 1 more (4 updates tracked since 2018).

About Bloom Geriatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM GERIATRICS LLC (NPI 1013499623) is a healthcare organization registered as an internal medicine in Chester, Virginia and active in the NPI registry since August 2018. The organization lists Mohammad Farooq, President, as its authorized official.

NPPES Registry Identity

NPI1013499623
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLOOM GERIATRICS LLC
Location Address1714 E HUNDRED RD STE 101Chester, VA 23836-3310
Mailing AddressPo Box 11768Richmond, VA 23230-0168 · (804) 590-6750
Organization SubpartNo
Authorized OfficialMohammad FarooqPresident · (804) 590-6750
Enumeration DateAugust 30, 2018
Last NPPES UpdateSeptember 6, 20194 updates tracked since enumeration
✔ NPI 1013499623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1714 E HUNDRED RD STE 101, Chester, VA 23836

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bloom Geriatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Bloom Geriatrics LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
Internal Medicine2

Clinicians, nearest first (12)

Internal Medicine
NPI 1396704581
1714 E HUNDRED RD STE 101
Chester, VA 23836
(804) 590-6750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104297118
1714 E HUNDRED RD STE 101
Chester, VA 23836
(804) 735-4040
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275990715
3524 BOULEVARD
Colonial Heights, VA 23834
(804) 805-8519
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1679008973
4313 OLD HUNDRED RD
Chester, VA 23831
(757) 340-3489
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1972970150
4313 OLD HUNDRED RD
Chester, VA 23831
(804) 813-0085
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1104415827
524 SOUTHPARK BLVD
Colonial Heights, VA 23834
(804) 504-7980
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1528420544
9600 SPRING GLEN DR
Chesterfield, VA 23832
(804) 312-4044
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1669938825
4801 NEWBYS MILL TER
Chesterfield, VA 23832
(804) 908-8886
✔ PECOS✔ Accepts Medicare14 mi
Internal Medicine
NPI 1932190451
1200 EAST BROAD STREET MCV PHYSICIANS
Richmond, VA 23298
(804) 327-4046
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1841684602
7101 JAHNKE RD
Richmond, VA 23225
(804) 228-6630
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1235660655
2580 PRUDEN BLVD
Suffolk, VA 23434
(804) 925-7600
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1578937934
18718 19TH DR SE
Bothell, WA 98012
(312) 718-8777
✔ PECOS2,364 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Geriatrics LLC's NPI number?

The NPI number for Bloom Geriatrics LLC is 1013499623. It was assigned to this organization in the NPPES registry on August 30, 2018.

Where is Bloom Geriatrics LLC located?

Bloom Geriatrics LLC is located at 1714 E Hundred Rd Ste 101, Chester, VA 23836. The listed phone number is (804) 590-6750.

What is Bloom Geriatrics LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bloom Geriatrics LLC enrolled in Medicare?

Yes. Bloom Geriatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Geriatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Bloom Geriatrics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10) and Internal Medicine (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bloom Geriatrics LLC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.