DR. CHANDRA NICOLE KEEBLER BLOOM MD
NPI 1497018238
Internal Medicine - Geriatric Medicine in Vallejo, CA
About Dr. Chandra Nicole Keebler Bloom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHANDRA NICOLE KEEBLER BLOOM MD (NPI 1497018238) is an individual geriatric medicine provider in Vallejo, California, licensed in California (A131366) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of California, San Diego School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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. Chandra Nicole Keebler Bloom Md 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 Reassignment
Medicare enrollment records show Chandra Keebler Bloom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94589 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALLEJO, CA 94589
VALLEJO, CA 94589
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 Chandra Keebler Bloom's NPI number?
The NPI number for Chandra Keebler Bloom is 1497018238. It was assigned to this individual provider in the NPPES registry on June 18, 2012. The provider is also known as Dr. Chandra Nicole Keebler MD.
Where is Chandra Keebler Bloom located?
Chandra Keebler Bloom practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 438-5077.
What is Chandra Keebler Bloom's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Chandra Keebler Bloom enrolled in Medicare?
Yes. Chandra Keebler 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 Chandra Keebler Bloom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandra Keebler Bloom reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Chandra Keebler 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 Chandra Keebler Bloom was last updated on January 11, 2022. 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.
# Dr. Chandra Nicole Keebler Bloom, MD · NPI 1497018238
Geriatric Medicine physician in Vallejo, California. Individual provider, active in the CMS NPPES registry since June 18, 2012.
## Identity
- **NPI:** 1497018238 (Entity type: Individual)
- **Enumerated:** June 18, 2012
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** A131366 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 975 SERENO DR, Vallejo, CA 94589-2441
- **Phone:** (707) 438-5077
## 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:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Diego School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497018238) · Data from the CMS NPPES public registry.