BLOOM MEDICAL CARE, LLC
NPI 1497451884
Nurse Practitioner - Primary Care in Houston, TX

Active since February 07, 2023CLIA 45D2321813 · Waiver
10107 LOUETTA RD STE 105, HOUSTON, TX 77070(210) 992-2654 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bloom Medical Care, Llc NPPES

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

BLOOM MEDICAL CARE, LLC (NPI 1497451884) is a healthcare organization registered as a primary care in Houston, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Abimbola T Ayorinde, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1497451884
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameBLOOM MEDICAL CARE, LLC
Location Address10107 LOUETTA RD STE 105Houston, TX 77070-1574
Mailing Address10107 Louetta Rd Ste 105Houston, TX 77070-1574 · (210) 992-2654
Organization SubpartNo
Authorized OfficialAbimbola T AyorindeFounder/ceo · (512) 999-2453
Enumeration DateFebruary 7, 2023
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1497451884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
10107 LOUETTA RD STE 105, Houston, TX 77070

Accepted Insurance

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 Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bloom Medical Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1235525064
10107 LOUETTA RD STE 105
Houston, TX 77070
(210) 992-2654
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073317335
13210 MEMORIAL DR STE 400
Houston, TX 77079
(713) 818-8982
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1043295652
4825 ALMEDA RD
Houston, TX 77004
(713) 521-7865
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1922975408
1111 W ADOUE ST
Alvin, TX 77511
(281) 824-1480
✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2321813

Bloom Medical Care LLC · Houston, TX
Active · expires Apr 9, 2027
CLIA Number45D2321813
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorEverald O. Manning
Laboratory Phone(210) 992-2654
Laboratory LocationBloom Medical Care LLC10107 Louetta Rd., Suite 105, Houston, TX 77070
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Care, LLC's NPI number?

The NPI number for Bloom Medical Care, LLC is 1497451884. It was assigned to this organization in the NPPES registry on February 7, 2023.

Where is Bloom Medical Care, LLC located?

Bloom Medical Care, LLC is located at 10107 Louetta Rd Ste 105, Houston, TX 77070. The listed phone number is (210) 992-2654.

What is Bloom Medical Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Bloom Medical Care, LLC enrolled in Medicare?

Yes. Bloom Medical Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Medical Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bloom Medical Care, LLC. 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. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bloom Medical Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2321813) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bloom Medical Care, LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Bloom Medical Care, LLC 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 Bloom Medical Care, LLC was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.