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HENRY M BLUMBERG M.D.
NPI 1508950254
Internal Medicine - Infectious Disease in Atlanta, GA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
341 PONCE DE LEON AVE, THE PONCE DE LEON CENTER, ATLANTA, GA 30308(404) 616-2440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Henry M Blumberg M.d. NPPES

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

HENRY M BLUMBERG M.D. (NPI 1508950254) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (027160) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1983).

NPPES Registry Identity

NPI1508950254
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameHENRY M BLUMBERGCredential: M.D.
Location Address341 PONCE DE LEON AVE, THE PONCE DE LEON CENTERAtlanta, GA 30308
Mailing Address341 Ponce De Leon Ave, The Ponce De Leon CenterAtlanta, GA 30308 · (404) 616-2440
Phone(404) 616-2440
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1983
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508950254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 027160
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
341 PONCE DE LEON AVE, Atlanta, GA 30308
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Other Identifiers 1

Medicare UPIND39434GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Henry M Blumberg 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 ID4880719657
PECOS Enrollment IDI20100916000827
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 6

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

MS. MARCIA MCDONNELL HOLSTAD DSN, RN, C, FNP
Nurse Practitioner (Family)
341 PONCE DE LEON AVE
ATLANTA, GA 30308
Fulton County (404) 616-9824
ALISON WALTER KYLE FNP-C
Nurse Practitioner (Family)
341 PONCE DE LEON AVE
ATLANTA, GA 30308
Fulton County (404) 616-9756
MS. SANDRA KAY WARD P.A.-C
Physician Assistant
341 PONCE DE LEON AVE
ATLANTA, GA 30308
Fulton County (404) 616-9819
MRS. MYRLANDE JULES-VILLEFRANCHE NP-C
Nurse Practitioner (Family)
341 PONCE DE LEON AVE
ATLANTA, GA 30308
Fulton County (404) 616-2400
KATHERINE MELTON AL-HAROUN
Nurse Practitioner (Adult Health)
341 PONCE DE LEON AVE
ATLANTA, GA 30308
Fulton County (404) 616-2400
MS. GINA BAILEY HERRING RN, FNP-C
Nurse Practitioner (Family)
341 PONCE DE LEON AVE, GRADY INFECTIOUS DISEASE PROGRAM, WOMEN'S CLINIC
ATLANTA, GA 30308
Fulton County (404) 616-6309

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 Henry Blumberg's NPI number?

The NPI number for Henry Blumberg is 1508950254. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Henry Blumberg located?

Henry Blumberg practices at 341 Ponce De Leon Ave The Ponce De Leon Center, Atlanta, GA 30308. The listed phone number is (404) 616-2440.

What is Henry Blumberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Henry Blumberg enrolled in Medicare?

Yes. Henry Blumberg 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.

What insurance does Henry Blumberg accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Henry Blumberg 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 Henry Blumberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.