DOMINIQUE BLUME
NPI 1205476009
Physician Assistant - Medical in Pittsburgh, PA

Active since January 09, 2020PECOS Enrolled
5230 CENTRE AVE, 3RD FLOOR, PITTSBURGH, PA 15232(412) 864-7587 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 15, 2021, May 26, 2021, Jan 9, 2020 (3 updates tracked since 2020).

About Dominique Blume NPPES

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

DOMINIQUE BLUME (NPI 1205476009) is an individual medical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA061380) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205476009
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDOMINIQUE BLUME
Location Address5230 CENTRE AVE, 3RD FLOORPittsburgh, PA 15232-1304
Mailing Address5115 Centre Ave Fl 3, 3rd FloorPittsburgh, PA 15232-1301
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJune 15, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2020
NPI 1205476009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA061380
5230 CENTRE AVE, Pittsburgh, PA 15232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dominique Blume is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Practitioner
5230 CENTRE AVE, 613 SCAIFE HALL
PITTSBURGH, PA 15232
Physical Therapist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232
Specialist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Pharmacist
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Anesthetist, Certified Registered
5230 CENTRE AVE
PITTSBURGH, PA 15232
Nurse Practitioner (Family)
5230 CENTRE AVE, 3RD FLOOR
PITTSBURGH, PA 15232
Physician Assistant
5230 CENTRE AVE
PITTSBURGH, PA 15232

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 Dominique Blume's NPI number?

The NPI number for Dominique Blume is 1205476009. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Dominique Blume located?

Dominique Blume practices at 5230 Centre Ave 3rd Floor, Pittsburgh, PA 15232. The listed phone number is (412) 864-7587.

What is Dominique Blume's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dominique Blume enrolled in Medicare?

Yes. Dominique Blume is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Blume was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.