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SHELBY A BLOOMER MD
NPI 1275119786
Anesthesiology - Pediatric Anesthesiology in Iowa City, IA

Active since March 23, 2021PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-9683 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Aug 23, 2023, Mar 23, 2021 (3 updates tracked since 2021).

About Shelby A Bloomer Md NPPES

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

SHELBY A BLOOMER MD (NPI 1275119786) is an individual pediatric anesthesiology provider in Iowa City, Iowa, licensed in Iowa (MD-51668) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Liberty, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2021).

NPPES Registry Identity

NPI1275119786
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameSHELBY A BLOOMERCredential: MD
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-2633 · Fax (319) 356-2940
Phone(319) 384-9683
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1275119786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in IA · MD-51668
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD-51668 (IA)
200 HAWKINS DR, Iowa City, IA 52242
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Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-2633 · Fax (319) 356-2940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby A Bloomer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072018480
PECOS Enrollment IDI20250926000069
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 Shelby Bloomer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
Same address
Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1114905387 (319) 356-2743

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Shelby Bloomer's NPI number?

The NPI number for Shelby Bloomer is 1275119786. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Shelby Bloomer located?

Shelby Bloomer practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-9683.

What is Shelby Bloomer's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Shelby Bloomer enrolled in Medicare?

Yes. Shelby Bloomer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shelby Bloomer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Bloomer reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). 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 Shelby Bloomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Bloomer accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Shelby Bloomer 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 Shelby Bloomer was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.