JERRY M BLOOMSTEIN MD
NPI 1356475594
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauwatosa, WI

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
1220 DEWEY AVE, BLDG 2, WAUWATOSA, WI 53213(414) 454-6500 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry M Bloomstein Md NPPES

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

JERRY M BLOOMSTEIN MD (NPI 1356475594) is an individual child & adolescent psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (28817) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1986).

NPPES Registry Identity

NPI1356475594
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJERRY M BLOOMSTEINCredential: MD
Location Address1220 DEWEY AVE, BLDG 2Wauwatosa, WI 53213-2504
Mailing Address1774 N 84th StWauwatosa, WI 53226-2817 · (414) 475-7118
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1986
Enumeration DateMarch 16, 2007
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1356475594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in WI · 28817
Definition
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.
1220 DEWEY AVE, Wauwatosa, WI 53213

Other Identifiers 1

Medicaid31465900WI

Accepted 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

Jerry M Bloomstein Md 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 ID5395639397
PECOS Enrollment IDI20040211000185
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.

Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213

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 Jerry Bloomstein's NPI number?

The NPI number for Jerry Bloomstein is 1356475594. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Jerry Bloomstein located?

Jerry Bloomstein practices at 1220 Dewey Ave Bldg 2, Wauwatosa, WI 53213. The listed phone number is (414) 454-6500.

What is Jerry Bloomstein's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jerry Bloomstein enrolled in Medicare?

Yes. Jerry Bloomstein 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 Jerry Bloomstein accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Jerry Bloomstein 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 Jerry Bloomstein was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.