MICHAEL A BLUM DO PA
NPI 1770876120
Internal Medicine in Port Saint Lucie, FL

Active since May 18, 2011CLIA Certified · 2 labs
579 NW LAKE WHITNEY PLACE, SUITE 101, PORT SAINT LUCIE, FL 34986(772) 249-0260(772) 249-0137 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2018, Mar 23, 2017 (2 updates tracked since 2017).

About Michael A Blum Do Pa NPPES

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

MICHAEL A BLUM DO PA (NPI 1770876120) is a healthcare organization registered as an internal medicine in Port Saint Lucie, Florida and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Stuart, and lists Michael Allan Blum, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1770876120
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMICHAEL A BLUM DO PA
Location Address579 NW LAKE WHITNEY PLACE, SUITE 101Port Saint Lucie, FL 34986-1622
Mailing Address579 Nw Lake Whitney Place, Suite 101Port Saint Lucie, FL 34986-1622 · (772) 249-0260 · Fax (772) 249-0137
Fax(772) 249-0137
Organization SubpartNo
Authorized OfficialMichael Allan BlumPresident And Ceo · (772) 249-0260
Enumeration DateMay 18, 2011
Last NPPES UpdateMarch 15, 20222 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
NPI 1770876120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · OS7680
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

579 NW LAKE WHITNEY PLACE, Port Saint Lucie, FL 34986

Secondary Practice Location 1

Location 11111 SE Federal Hwy Ste 330Stuart, FL 34994-3839 · Phone (772) 249-0260 · Fax (772) 249-0137

Other Identifiers 1

Medicaid014151100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 10D2078186

Michael A Blum Do PA · Port Saint Lucie, FL
Active · expires May 21, 2028
CLIA Number10D2078186
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorJessica L. Henke
Laboratory Phone(772) 249-0260
Laboratory LocationMichael A Blum Do PA579 NW Lake Whitney Place, Suite 101, Port Saint Lucie, FL 34986
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2094806

Michael A Blum Do · Stuart, FL
Active · expires Apr 22, 2027
CLIA Number10D2094806
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorJessica Henke
Laboratory Phone(772) 249-0260
Laboratory LocationMichael A Blum Do1111 SE Federal Highway, Suite 330, Stuart, FL 34994
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Hospice Care, Community Based
579 NW LAKE WHITNEY PLACE, SUITE 104
PORT ST LUCIE, FL 34986
Hospitalist
579 NW LAKE WHITNEY PLACE, 101
PORT ST LUCIE, FL 34986
Nurse Practitioner
579 NW LAKE WHITNEY PLACE, 101
PORT ST LUCIE, FL 34986
Internal Medicine
579 NW LAKE WHITNEY PLACE, SUITE 101
PORT SAINT LUCIE, FL 34986

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 Michael A Blum Do PA's NPI number?

The NPI number for Michael A Blum Do PA is 1770876120. It was assigned to this organization in the NPPES registry on May 18, 2011.

Where is Michael A Blum Do PA located?

Michael A Blum Do PA is located at 579 NW Lake Whitney Place Suite 101, Port Saint Lucie, FL 34986. The listed phone number is (772) 249-0260.

What is Michael A Blum Do PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Michael A Blum Do PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Michael A Blum Do PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Michael A Blum Do PA 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 Michael A Blum Do PA was last updated on March 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.