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KAREN BLOCH MD, MPH
NPI 1083798193
Internal Medicine - Infectious Disease in Nashville, TN

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2020, Sep 21, 2020 (2 updates tracked since 2020).

About Karen Bloch Md, Mph NPPES

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

KAREN BLOCH MD, MPH (NPI 1083798193) is an individual infectious disease provider in Nashville, Tennessee, licensed in Tennessee (MD29632) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of University Of Virginia School Of Medicine (1990).

NPPES Registry Identity

NPI1083798193
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameKAREN BLOCHCredential: MD, MPH
Location Address3601 TVCNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3000
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1990
Enumeration DateOctober 25, 2006
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1083798193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in TN · MD29632
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3601 TVC, Nashville, TN 37232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Bloch Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931116969
PECOS Enrollment IDI20060315000486
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Bedford Hospital

Acute Care Hospitals · Shelbyville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440137
Location2835 Hwy 231 NorthShelbyville, TN 37160 · Bedford County
Emergency services

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE ANNE RAINES APRN
Pediatrics
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LEALANI MAE ACOSTA MD
Psychiatry & Neurology (Neurology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ELLEN HOUSE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. DEBORAH P JONES MD
Pediatrics (Pediatric Nephrology)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
SPYROS KALAMS MD
Internal Medicine (Infectious Disease)
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
ROBERT BAUM MD
Physical Medicine & Rehabilitation
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
KENNETH SHARP MD
Surgery
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JOHN DOWNING MD
Anesthesiology
3601 TVC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Karen Bloch's NPI number?

The NPI number for Karen Bloch is 1083798193. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Karen Bloch located?

Karen Bloch practices at 3601 Tvc, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Karen Bloch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Karen Bloch enrolled in Medicare?

Yes. Karen Bloch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Bloch accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Karen Bloch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Bloch affiliated with any hospitals?

According to CMS data, Karen Bloch is affiliated with Vanderbilt University Medical Center, Vanderbilt Bedford Hospital, Vanderbilt Tullahoma-Harton Hospital and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Karen Bloch was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.