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DR. MICHAEL L BLOOM M.D.
NPI 1306834171
Internal Medicine - Gastroenterology in Miami Beach, FL

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
4302 ALTON RD, SUITE 850, MIAMI BEACH, FL 33140(305) 532-2999(305) 672-4803 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael L Bloom M.d. NPPES

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

DR. MICHAEL L BLOOM M.D. (NPI 1306834171) is an individual gastroenterology provider in Miami Beach, Florida, licensed in Florida (ME0055835) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of University Of Toronto, Faculty Of Medicine (1984).

NPPES Registry Identity

NPI1306834171
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL L BLOOMCredential: M.D.
Location Address4302 ALTON RD, SUITE 850Miami Beach, FL 33140-2891
Mailing Address4302 Alton Rd, Suite 850Miami Beach, FL 33140-2891 · (305) 532-2999 · Fax (305) 672-4803
Phone(305) 532-2999
Fax(305) 672-4803
Sole ProprietorNo
Medical School CMSUniversity Of Toronto, Faculty Of MedicineGraduated 1984
Enumeration DateOctober 6, 2005
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1306834171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0055835
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4302 ALTON RD, Miami Beach, FL 33140
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Other Identifiers 2

Medicare PIN10666WFL
Medicare UPINE61687FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Michael L Bloom 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 ID2668535196
PECOS Enrollment IDI20120627000527
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 9

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.

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.
97 services73 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
63 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
57 services57 patients
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.
56 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services26 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.
31 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33140 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%625 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,307 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
65%552 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%427 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%1,472 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
84%600 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%427 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%427 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

OUELLETTE GROUP PHYSICIANS FOR THE HAND
Orthopaedic Surgery (Hand Surgery)
4302 ALTON RD, SUITE 710
MIAMI BEACH, FL 33140
Miami-Dade County (786) 261-0222
DAVID COHN MD PA
Internal Medicine
4302 ALTON RD, SUITE 300
MIAMI BEACH, FL 33140
Miami-Dade County (305) 531-6600
DR. JOSE R TOLEDO M.D.
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256
INIEDDY RODRIGUEZ BORNOT
Nurse Practitioner (Acute Care)
4302 ALTON RD
MIAMI BEACH, FL 33140
Miami-Dade County (786) 584-5560
DR. DAVID L LIPKIN M.D.
Physical Medicine & Rehabilitation
4302 ALTON RD, SUITE 420
MIAMI BEACH, FL 33140
Miami-Dade County (305) 672-1256
COMPREHENSIVE PRIMARY CARE
Internal Medicine
4302 ALTON RD, SUITE 900
MIAMI BEACH, FL 33140
Miami-Dade County (305) 534-4888
MEDICAL CENTER OF WINSTON TOWERS INC
Internal Medicine
4302 ALTON RD, SUITE 320
MIAMI BEACH, FL 33140
Miami-Dade County (305) 538-7344
IRVING JORGE MD
Surgery
4302 ALTON RD, SUITE 540
MIAMI BEACH, FL 33140
Miami-Dade County (305) 674-2151

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 Michael Bloom's NPI number?

The NPI number for Michael Bloom is 1306834171. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Michael Bloom located?

Michael Bloom practices at 4302 Alton Rd Suite 850, Miami Beach, FL 33140. The listed phone number is (305) 532-2999.

What is Michael Bloom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Bloom enrolled in Medicare?

Yes. Michael Bloom 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 Michael Bloom accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Michael 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.

Is Michael Bloom affiliated with any hospitals?

According to CMS data, Michael Bloom is affiliated with Mount Sinai Medical Center Of Florida, Inc and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bloom was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.