DAVID ALAN BLOOM MD
NPI 1609967132
Urology in Ann Arbor, MI

Active since September 28, 2006PECOS Enrolled
1500 E MEDICAL CENTER DR, 4TH FLOOR CLINIC B ROOM 4807, ANN ARBOR, MI 48109(734) 936-7030 Get Directions Write a Review

NPPES record last updated: April 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Alan Bloom Md NPPES

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

DAVID ALAN BLOOM MD (NPI 1609967132) is an individual urology provider in Ann Arbor, Michigan, licensed in Michigan (4301047893) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609967132
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID ALAN BLOOMCredential: MD
Location Address1500 E MEDICAL CENTER DR, 4TH FLOOR CLINIC B ROOM 4807Ann Arbor, MI 48109-4217
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 24, 2012
NPI 1609967132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301047893
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X · License 4301047893 (MI)
Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 4301047893 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Identifiers 3

Medicaid1594500MI
Medicare ID-Type Unspecified0H16030010MI
Medicare UPINB49555MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Alan Bloom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48109 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

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 David Bloom's NPI number?

The NPI number for David Bloom is 1609967132. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is David Bloom located?

David Bloom practices at 1500 E Medical Center Dr 4th Floor Clinic B Room 4807, Ann Arbor, MI 48109. The listed phone number is (734) 936-7030.

What is David Bloom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Bloom enrolled in Medicare?

Yes. David Bloom is registered in the Medicare PECOS enrollment system.

What insurance does David Bloom accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list David 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 David Bloom was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.