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DR. GENEVIEVE E BLOOM M.D.
NPI 1376537076
Internal Medicine in Coronado, CA

Active since September 08, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0945186 · Waiver
1117 10TH ST, CORONADO, CA 92118(619) 435-0268(619) 435-1420 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Genevieve E Bloom M.d. NPPES

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

DR. GENEVIEVE E BLOOM M.D. (NPI 1376537076) is an individual internal medicine provider in Coronado, California, licensed in California (A55250) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is a graduate of Loma Linda University School Of Medicine (1994).

NPPES Registry Identity

NPI1376537076
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GENEVIEVE E BLOOMCredential: M.D.
Location Address1117 10TH STCoronado, CA 92118-3401
Mailing Address1117 10th StCoronado, CA 92118-3401 · (619) 435-0268 · Fax (619) 435-1420
Phone(619) 435-0268
Fax(619) 435-1420
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 1994
Enumeration DateSeptember 8, 2005
Last NPPES UpdateNovember 4, 2010
✔ NPI 1376537076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A55250
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1117 10TH ST, Coronado, CA 92118
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Other Identifiers 4

Medicare UPING68691CA
Medicare UPING62691
Medicare PINA55250CA
Medicaid00A552500CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Genevieve E 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 ID8224216411
PECOS Enrollment IDI20110616000397
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 Genevieve Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency And Acute Care Medical Corporation
8.0 mi
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group
NPI 1437103942 (858) 939-3400

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0945186

Genevieve E Bloom, MD · Coronado, CA
Active · expires Aug 31, 2028
CLIA Number05D0945186
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGenevieve E. Bloom
Laboratory Phone(619) 435-0268
Laboratory LocationGenevieve E Bloom, MD926 Orange Avenue Suite A, Coronado, CA 92118
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
88 services49 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.
58 services39 patients
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.
43 services29 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 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92118 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$4.08 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,451 services$0.31 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Genevieve Bloom's NPI number?

The NPI number for Genevieve Bloom is 1376537076. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Genevieve Bloom located?

Genevieve Bloom practices at 1117 10th St, Coronado, CA 92118. The listed phone number is (619) 435-0268.

What is Genevieve Bloom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Genevieve Bloom enrolled in Medicare?

Yes. Genevieve 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.

Which organization bills Medicare for Genevieve Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genevieve Bloom reassigns Medicare benefits to Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Genevieve Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Genevieve Bloom hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0945186) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genevieve Bloom was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.