MARIE KAUNG BLOSSOM M.D.
NPI 1447350798
Obstetrics & Gynecology in Cleveland, OH

Q: What is Marie Blossom's NPI number?

The NPI number for Marie Blossom is 1447350798. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Marie Blossom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Blossom was last updated on December 22, 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.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marie Kaung Blossom M.d. NPPES

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

MARIE KAUNG BLOSSOM M.D. (NPI 1447350798) is an individual obstetrics & gynecology provider in Cleveland, Ohio, licensed in Georgia (058147) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2000).

NPPES Registry Identity

NPI1447350798

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameMARIE KAUNG BLOSSOMCredential: M.D.

Location Address2500 METROHEALTH DRCleveland, OH 44109-1900

Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900 · (404) 377-2044

Phone(216) 778-7800

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2000

Enumeration DateSeptember 25, 2006

Last NPPES UpdateDecember 22, 2021

✔ NPI 1447350798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 058147

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2500 METROHEALTH DR, Cleveland, OH 44109

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Other Identifiers 1

Medicaid2486868OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Marie Kaung Blossom 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 ID2163401985

PECOS Enrollment IDI20040715000987

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.

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360059

Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

AMIR RAZAVI MD

Internal Medicine