KENNETH EDWARD BLOOM M.D.
NPI 1477536068
Dermatology in Bronx, NY
About Kenneth Edward Bloom M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH EDWARD BLOOM M.D. (NPI 1477536068) is an individual dermatology provider in Bronx, New York, licensed in New York (169466) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Rush Medical College Of Rush University (1984).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
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
Kenneth Edward 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kenneth Bloom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10462
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Advanced Dermatology Of New York PC
- 3 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Bloom's NPI number?
The NPI number for Kenneth Bloom is 1477536068. It was assigned to this individual provider in the NPPES registry on November 28, 2005.
Where is Kenneth Bloom located?
Kenneth Bloom practices at 1455 West Ave, Bronx, NY 10462. The listed phone number is (718) 239-1500.
What is Kenneth Bloom's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kenneth Bloom enrolled in Medicare?
Yes. Kenneth 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 organizations bill Medicare for Kenneth Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Bloom reassigns Medicare benefits to 5 organizations: Advanced Dermatology Of New York, P.C. (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY), Essen Medical Associates, PC (Bronx, NY) and Coney Island Medical Practice Plan, P.C. (Brooklyn, NY). 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 Kenneth Bloom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Bloom accept?
Health plans from Network Health list Kenneth Bloom 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 Kenneth Bloom was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kenneth Edward Bloom, M.D. · NPI 1477536068
Dermatology physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since November 28, 2005.
## Identity
- **NPI:** 1477536068 (Entity type: Individual)
- **Enumerated:** November 28, 2005
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 169466 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1455 WEST AVE, Bronx, NY 10462-7304
- **Phone:** (718) 239-1500 · **Fax:** (212) 765-3210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Advanced Dermatology Of New York, P.C. (NPI 1497017552, Bronx, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 1984
## Record status
- **NPPES last updated:** August 22, 2019
- **Other identifiers:** Medicaid 04134401 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1477536068) · Data from the CMS NPPES public registry.