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WILLIAM S BLOOM DDS
NPI 1215950100
Oral & Maxillofacial Surgery in Warren, MI

Active since July 25, 2006PECOS Enrolled
90.09/100
CMS Quality Rating
11300 EAST THIRTEEN MILE ROAD, WARREN, MI 48093(586) 573-7777(586) 573-7584 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William S Bloom Dds NPPES

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

WILLIAM S BLOOM DDS (NPI 1215950100) is an individual oral & maxillofacial surgery provider in Warren, Michigan, licensed in Michigan (2901010395) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215950100
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameWILLIAM S BLOOMCredential: DDS
Location Address11300 EAST THIRTEEN MILE ROADWarren, MI 48093
Mailing Address11300 13 Mile RoadWarren, MI 48093 · (586) 573-7777 · Fax (586) 573-7584
Phone(586) 573-7777
Fax(586) 573-7584
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215950100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MI · 2901010395
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
11300 EAST THIRTEEN MILE ROAD, Warren, MI 48093
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Other Identifiers 3

Medicare ID-Type Unspecified5507971
Medicaid2642399MI
Medicare UPINT82796

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William S Bloom Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show William Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health Macomb-Oakland Hospital
0.6 mi
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1134176472 (586) 573-5000

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

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 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.
18 services18 patients

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.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

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 William Bloom's NPI number?

The NPI number for William Bloom is 1215950100. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is William Bloom located?

William Bloom practices at 11300 East Thirteen Mile Road, Warren, MI 48093. The listed phone number is (586) 573-7777.

What is William Bloom's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is William Bloom enrolled in Medicare?

Yes. William Bloom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Bloom reassigns Medicare benefits to Henry Ford Health Macomb-Oakland Hospital (Warren, MI). The 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 William Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Bloom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Montana and 8 other insurers list William Bloom 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.

When was this NPI record last updated?

The NPPES record for William Bloom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.