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DR. JACOB MAXWELL-PHILLIP BLOOM MD
NPI 1770757130
Surgery - Plastic and Reconstructive Surgery in Chicago, IL

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
1 E DELAWARE PL STE 501, CHICAGO, IL 60611(312) 549-8691(312) 549-8692 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Jacob Maxwell-phillip Bloom Md NPPES

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

DR. JACOB MAXWELL-PHILLIP BLOOM MD (NPI 1770757130) is an individual plastic and reconstructive surgery provider in Chicago, Illinois, licensed in Illinois (036134552) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hinsdale, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1770757130
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. JACOB MAXWELL-PHILLIP BLOOMCredential: MD
Location Address1 E DELAWARE PL STE 501Chicago, IL 60611-1666
Mailing Address1 E Delaware Pl Ste 501Chicago, IL 60611-1666 · (312) 535-3721
Phone(312) 549-8691
Fax(312) 549-8692
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 16, 2008
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1770757130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IL · 036134552
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 036134552 (IL)
1 E DELAWARE PL STE 501, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 112 Salt Creek Ln Ste 125Hinsdale, IL 60521-8646 · Phone (312) 549-8691 · Fax (312) 549-8692

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

Dr. Jacob Maxwell-phillip 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.

PECOS PAC ID9739304981
PECOS Enrollment IDI20140702001968
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services41 patients
Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Other Providers at the Same Location NPPES 3

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

KATHRYN GARITY
Nurse Practitioner
1 E DELAWARE PL STE 501
CHICAGO, IL 60611
Cook County (312) 549-8691
KELCY BAI PA
Physician Assistant
1 E DELAWARE PL STE 501
CHICAGO, IL 60611
Cook County (312) 626-1759
MS. MEGAN HOSKING PA-C
Physician Assistant
1 E DELAWARE PL STE 501
CHICAGO, IL 60611
Cook County (312) 549-8691

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 Jacob Bloom's NPI number?

The NPI number for Jacob Bloom is 1770757130. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Jacob Bloom located?

Jacob Bloom practices at 1 E Delaware Pl Ste 501, Chicago, IL 60611. The listed phone number is (312) 549-8691.

What is Jacob Bloom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Jacob Bloom enrolled in Medicare?

Yes. Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Bloom was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.