DR. MELISSA M BLOOM M.D.
NPI 1689775173
Family Medicine in Honolulu, HI
About Dr. Melissa M Bloom M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MELISSA M BLOOM M.D. (NPI 1689775173) is an individual family medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD13104) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Melissa M Bloom M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96814 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.
HONOLULU, HI 96814
HONOLULU, HI 96814
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 Melissa Bloom's NPI number?
The NPI number for Melissa Bloom is 1689775173. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Dr. Melissa M Lee M. D..
Where is Melissa Bloom located?
Melissa Bloom practices at 1314 S King St Suite 514, Honolulu, HI 96814. The listed phone number is (808) 591-8611.
What is Melissa Bloom's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Melissa Bloom enrolled in Medicare?
No. Melissa Bloom has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Melissa Bloom was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Melissa M Bloom, M.D. · NPI 1689775173
Family Medicine physician in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1689775173 (Entity type: Individual)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD13104 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 1314 S KING ST, SUITE 514, Honolulu, HI 96814-1956
- **Phone:** (808) 591-8611
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** August 8, 2016
- **Other identifiers:** Medicaid 57549102 (HI); Medicare UPIN I35881 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1689775173) · Data from the CMS NPPES public registry.