JOHANNES VICTOR BLOM M.D.
NPI 1184654519
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Hollywood, FL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
3702 WASHINGTON ST, SUITE 202, HOLLYWOOD, FL 33021(954) 964-6114(954) 962-1994 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Johannes Victor Blom M.d. NPPES

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

JOHANNES VICTOR BLOM M.D. (NPI 1184654519) is an individual adult reconstructive orthopaedic surgery provider in Hollywood, Florida, licensed in Florida (ME94285) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Boston University School Of Medicine (1991).

NPPES Registry Identity

NPI1184654519
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameJOHANNES VICTOR BLOMCredential: M.D.
Location Address3702 WASHINGTON ST, SUITE 202Hollywood, FL 33021-8282
Mailing Address3702 Washington St, Suite 202Hollywood, FL 33021-8282 · (954) 964-6114
Fax(954) 962-1994
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1991
Enumeration DateJuly 3, 2006
Last NPPES UpdateMay 23, 2012
NPI 1184654519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in FL · ME94285
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
3702 WASHINGTON ST, Hollywood, FL 33021

Accepted 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

Johannes Victor Blom M.d. 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 ID7012809536
PECOS Enrollment IDI20060215000602
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
238 services43 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.
152 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
79 services79 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
78 services45 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
60 services47 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.
36 services32 patients

Hospital Affiliations CMS Care Compare

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

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.

Clinic/Center (VA)
3702 WASHINGTON ST, HOLLYWOOD PAVILION, SUITE 201
HOLLYWOOD, FL 33021
Internal Medicine (Interventional Cardiology)
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Specialist
3702 WASHINGTON ST, SUITE 205
HOLLYWOOD, FL 33021
Nurse Practitioner
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Internal Medicine (Cardiovascular Disease)
3702 WASHINGTON ST, SUITE 305
HOLLYWOOD, FL 33021
Family Medicine
3702 WASHINGTON ST
HOLLYWOOD, FL 33021
Nurse Practitioner (Family)
3702 WASHINGTON ST, SUITE 201
HOLLYWOOD, FL 33021
Orthopaedic Surgery (Hand Surgery)
3702 WASHINGTON ST, SUITE 404
HOLLYWOOD, FL 33021

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 Johannes Blom's NPI number?

The NPI number for Johannes Blom is 1184654519. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Johannes Blom located?

Johannes Blom practices at 3702 Washington St Suite 202, Hollywood, FL 33021. The listed phone number is (954) 964-6114.

What is Johannes Blom's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Johannes Blom enrolled in Medicare?

Yes. Johannes Blom 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 Johannes Blom accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Johannes Blom 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 Johannes Blom affiliated with any hospitals?

According to CMS data, Johannes Blom is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Johannes Blom was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.