BLOOM PLASTIC SURGERY SC
NPI 1457805244
Specialist in Chicago, IL
About Bloom Plastic Surgery Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOOM PLASTIC SURGERY SC (NPI 1457805244) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since August 2016. The organization lists Jacob Bloom, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bloom Plastic Surgery Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bloom Plastic Surgery Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bloom Plastic Surgery Sc's NPI number?
The NPI number for Bloom Plastic Surgery Sc is 1457805244. It was assigned to this organization in the NPPES registry on August 9, 2016.
Where is Bloom Plastic Surgery Sc located?
Bloom Plastic Surgery Sc is located at 150 E Huron St Suite 801, Chicago, IL 60611. The listed phone number is (312) 549-8961.
What is Bloom Plastic Surgery Sc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Bloom Plastic Surgery Sc enrolled in Medicare?
Yes. Bloom Plastic Surgery Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bloom Plastic Surgery Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Bloom Plastic Surgery Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bloom Plastic Surgery Sc was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Bloom Plastic Surgery Sc · NPI 1457805244
Specialist organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since August 9, 2016.
## Identity
- **NPI:** 1457805244 (Entity type: Organization)
- **Enumerated:** August 9, 2016
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jacob Bloom, OWNER
## Practice location
- **Address:** 150 E HURON ST, SUITE 801, Chicago, IL 60611-2999
- **Phone:** (312) 549-8961 · **Fax:** (312) 549-8962
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1457805244) · Data from the CMS NPPES public registry.