MICHAEL A BLUM DO PA
NPI 1770876120
Internal Medicine in Port Saint Lucie, FL
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael A Blum Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Michael A Blum Do PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Port Saint Lucie, FL 34986
Port St Lucie, FL 34986
Port St Lucie, FL 34986
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLCertificate of Waiver 10D2094806
Michael A Blum Do · Stuart, FLFrequently 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.
Is Michael A Blum Do PA enrolled in Medicare?
Yes. Michael A Blum Do PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michael A Blum Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Michael A Blum Do PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michael A Blum Do Pa · NPI 1770876120
Internal Medicine organization in Port Saint Lucie, Florida. Organization record, active in the CMS NPPES registry since May 18, 2011.
## Identity
- **NPI:** 1770876120 (Entity type: Organization)
- **Enumerated:** May 18, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Blum, PRESIDENT AND CEO
## Practice location
- **Address:** 579 NW LAKE WHITNEY PLACE, SUITE 101, Port Saint Lucie, FL 34986-1622
- **Phone:** (772) 249-0260 · **Fax:** (772) 249-0137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Internal Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2022
- **Other identifiers:** Medicaid 014151100 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770876120) · Data from the CMS NPPES public registry.