BLOOM OB GYN, LLC
NPI 1093168809
Obstetrics & Gynecology in Washington, DC

Active since July 16, 2016CLIA 09D2122840 · Microscopy
4001 BRANDYWINE ST NW STE 300, WASHINGTON, DC 20016(202) 449-9570(202) 449-9513 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2017, Sep 30, 2016, Jul 16, 2016 (3 updates tracked since 2016).

About Bloom Ob Gyn, Llc NPPES

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

BLOOM OB GYN, LLC (NPI 1093168809) is a healthcare organization registered as an obstetrics & gynecology in Washington, District Of Columbia and active in the NPI registry since July 2016. The organization holds a CLIA Microscopy certificate valid through December 6, 2026 and lists Scott Osmun, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1093168809
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBLOOM OB GYN, LLC
Location Address4001 BRANDYWINE ST NW STE 300Washington, DC 20016-1876
Mailing Address4001 Brandywine St Nw, Suite 300Washington, DC 20016-1876 · (202) 449-9570 · Fax (202) 449-9513
Fax(202) 449-9513
Organization SubpartNo
Authorized OfficialScott OsmunAuthorized Official · (202) 449-9570
Enumeration DateJuly 16, 2016
Last NPPES UpdateMarch 26, 20193 updates tracked since enumeration
✔ NPI 1093168809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4001 BRANDYWINE ST NW STE 300, Washington, DC 20016

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

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Bloom Ob Gyn, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Obstetrics/Gynecology10
Nurse Practitioner3
Certified Nurse Midwife (CNM)1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1801539820
4001 BRANDYWINE ST NW STE 300
Washington, DC 20016
(202) 449-9570
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1164623930
4001 BRANDYWINE ST NW STE 300
Washington, DC 20016
(202) 449-9570
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1154717387
5215 LOUGHBORO RD NW STE 500
Washington, DC 20016
(202) 243-3500
✔ PECOS✔ Accepts Medicare1.8 mi
Obstetrics/Gynecology
NPI 1629593348
5255 LOUGHBORO RD NW
Washington, DC 20016
(202) 537-4686
✔ PECOS1.9 mi
Obstetrics/Gynecology
NPI 1538216957
1145 19TH ST NW SUITE 410
Washington, DC 20036
(202) 332-1740
✔ PECOS✔ Accepts Medicare3.7 mi
Nurse Practitioner
NPI 1417737230
1225 4TH ST NE
Washington, DC 20002
(202) 347-8512
✔ PECOS5.2 mi
Obstetrics/Gynecology
NPI 1396062956
10401 OLD GEORGETOWN RD STE 307
Bethesda, MD 20814
(301) 897-0945
✔ PECOS✔ Accepts Medicare5.8 mi
Obstetrics/Gynecology
NPI 1386091874
15204 OMEGA DR STE 200
Rockville, MD 20850
(301) 330-7002
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1003079807
1600 ROCKLAND RD
Wilmington, DE 19803
(302) 651-4200
✔ PECOS✔ Accepts Medicare100 mi
Obstetrics/Gynecology
NPI 1164743225
12500 WILLOWBROOK RD
Cumberland, MD 21502
(240) 964-7000
✔ PECOS101 mi
Obstetrics/Gynecology
NPI 1760977847
801 OSTRUM ST
Bethlehem, PA 18015
(484) 526-4670
✔ PECOS✔ Accepts Medicare145 mi
Certified Nurse Midwife (CNM)
NPI 1669758900
6324 FAIRVIEW RD STE 200
Charlotte, NC 28210
(704) 316-6912
✔ PECOS334 mi
Nurse Practitioner
NPI 1457728065
10 GOVE ST
East Boston, MA 02128
(617) 569-5800
✔ PECOS✔ Accepts Medicare395 mi
Obstetrics/Gynecology
NPI 1659725539
417 S KING ST
Seguin, TX 78155
(830) 372-2791
✔ PECOS✔ Accepts Medicare1,354 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 09D2122840

Bloom Ob/Gyn · Washington, DC
Active · expires Dec 6, 2026
CLIA Number09D2122840
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorDr. Joan E. Loveland
Laboratory Phone(202) 449-9570
Laboratory LocationBloom Ob/Gyn4001 Brandywine Street NW Suite 300, Washington, DC 20016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Ob Gyn, LLC's NPI number?

The NPI number for Bloom Ob Gyn, LLC is 1093168809. It was assigned to this organization in the NPPES registry on July 16, 2016.

Where is Bloom Ob Gyn, LLC located?

Bloom Ob Gyn, LLC is located at 4001 Brandywine St NW Ste 300, Washington, DC 20016. The listed phone number is (202) 449-9570.

What is Bloom Ob Gyn, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bloom Ob Gyn, LLC enrolled in Medicare?

Yes. Bloom Ob Gyn, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Ob Gyn, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Bloom Ob Gyn, 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 Obstetrics/Gynecology (10), Nurse Practitioner (3) and Certified Nurse Midwife (CNM) (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bloom Ob Gyn, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 09D2122840) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bloom Ob Gyn, LLC was last updated on March 26, 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.