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DAVID BLOOM M.D.
NPI 1417261785
Surgery in Rockaway Park, NY

Active since July 29, 2010PECOS Enrolled
136 BEACH 117TH ST, #513, ROCKAWAY PARK, NY 11694(516) 603-4827 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About David Bloom M.d. NPPES

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

DAVID BLOOM M.D. (NPI 1417261785) is an individual surgery provider in Rockaway Park, New York, licensed in New York (258003) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417261785
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID BLOOMCredential: M.D.
Location Address136 BEACH 117TH ST, #513Rockaway Park, NY 11694-2079
Mailing Address136 Beach 117th St, #513Rockaway Park, NY 11694-2079 · (516) 603-4827
Phone(516) 603-4827
Sole ProprietorYes
Enumeration DateJuly 29, 2010
Last NPPES UpdateApril 14, 2015
✔ NPI 1417261785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 258003
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
136 BEACH 117TH ST, Rockaway Park, NY 11694
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Bloom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

5

Medicare enrollment records show David Bloom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health Medical Associates, PLLC
1,376 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Washington enrollment
  • 317 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Multicare Health System
2,181 mi
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1336902345 (509) 530-4260
Acute Care Surgery Medical Group, Inc.
2,515 mi
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1700069549 (916) 441-0400
Surgical Affiliates Of California
2,519 mi
Surgery
807 ILLINOIS AVE
Los Banos, CA 93635
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group
NPI 1932440781 (209) 710-8695
Signify Health Medical Associates Of California, PC
2,581 mi
General Practice
505 MONTGOMERY ST, FL 10 & 11
San Francisco, CA 94111
  • Reassigned Medicare billing, California enrollment
  • 407 clinicians in this Medicare group
NPI 1124685169 (972) 715-3800

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 11694 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DENISE CAMERON OTR/L
Occupational Therapist
136 BEACH 117TH ST, APT. 312
ROCKAWAY PARK, NY 11694
Queens County (718) 807-7231

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 David Bloom's NPI number?

The NPI number for David Bloom is 1417261785. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is David Bloom located?

David Bloom practices at 136 Beach 117th St #513, Rockaway Park, NY 11694. The listed phone number is (516) 603-4827.

What is David Bloom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Bloom enrolled in Medicare?

Yes. David Bloom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Bloom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Bloom reassigns Medicare benefits to 5 organizations: Signify Health Medical Associates, PLLC (Dallas, TX), Multicare Health System (Spokane Valley, WA), Acute Care Surgery Medical Group, Inc. (Sacramento, CA), Surgical Affiliates Of California (Los Banos, CA) and Signify Health Medical Associates Of California, PC (San Francisco, CA). Each 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 David Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Bloom was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.