DR. JONATHAN BLOOMBERG MD
NPI 1336322924
Psychiatry & Neurology - Child & Adolescent Psychiatry in Northbrook, IL

NPI Status: Active since December 06, 2007

Contact Information

950 SKOKIE BLVD
#307
NORTHBROOK, IL
ZIP 60062
Phone: (847) 291-0088
Fax: (847) 291-7607

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  • Individual
  • Male
  • Years of Experience 39
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • May Accept Medicare Approved Payment
  • PECOS Enrolled
  • Opted-Out Medicare

About JONATHAN BLOOMBERG

This page provides the complete NPI Profile along with additional information for Jonathan Bloomberg, a provider established in Northbrook, Illinois with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry and more than 39 years of experience. He graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1987. The healthcare provider is registered in the NPI registry with number 1336322924 assigned on December 2007. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1336322924
Provider Name
DR. JONATHAN BLOOMBERG MD
Gender
Male
Entity Type
Individual
Location Address
950 SKOKIE BLVD #307 NORTHBROOK, IL 60062
Location Phone
(847) 291-0088
Location Fax
(847) 291-7607
Mailing Address
950 SKOKIE BLVD #307 NORTHBROOK, IL 60062
Mailing Phone
(847) 291-0088
Mailing Fax
(847) 291-7607
Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year
1987
Is Sole Proprietor?
Yes
Enumeration Date
12-06-2007
Last Update Date
12-06-2007
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jonathan Bloomberg opted out of Medicare effective on 05-22-2017 until 05-22-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Medicare Participation & PECOS Enrollment Status

Jonathan Bloomberg is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jonathan Bloomberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-22-2017

  • Opt-Out End Date: 05-22-2027

  • Eligible to Order and Refer? Yes

  • PECOS PAC ID: 2668371576

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040831000159

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336322924, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 6 + 2 + 4 + 9 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336322924.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
950 SKOKIE BLVD, SUITE 310
NORTHBROOK, IL 60062
Psychologist
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Psychiatry & Neurology (Child & Adolescent Psychiatry)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Counselor (Mental Health)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD, SUITE 305
NORTHBROOK, IL 60062
Social Worker (Clinical)
950 SKOKIE BLVD
NORTHBROOK, IL 60062
Counselor (Professional)
950 SKOKIE BLVD, SUITE #304
NORTHBROOK, IL 60062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336322924, enumerated as an "individual" on December 06, 2007.

The provider is located at 950 SKOKIE BLVD #307 NORTHBROOK, IL 60062 and the phone number is (847) 291-0088.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.