NELLA BLYUMIN MD
NPI 1790771863
Pediatrics in Cleveland, OH

NPI Status: Active since September 23, 2005

Contact Information

9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Phone: (800) 223-2273

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  • Individual
  • Female
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About NELLA BLYUMIN

This page provides the complete NPI Profile along with additional information for Nella Blyumin, a pediatrician established in Cleveland, Ohio with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1790771863 assigned on September 2005. The practitioner's primary taxonomy code is 208000000X with license number 35076285B (OH). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1790771863
Provider Name
NELLA BLYUMIN MD
Gender
Female
Entity Type
Individual
Location Address
9500 EUCLID AVE CLEVELAND, OH 44195
Location Phone
(800) 223-2273
Mailing Address
6000 W CREEK RD SUITE 10 INDEPENDENCE, OH 44131
Mailing Phone
(800) 223-2273
Is Sole Proprietor?
No
Enumeration Date
09-23-2005
Last Update Date
04-24-2008
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A pediatrician like Nella Blyumin is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
35076285B
License State
OH
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2129440MEDICAID (05)OH 
BL0885702MEDICARE PIN (08)OH 

Medicare Participation & PECOS Enrollment Status

Nella Blyumin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 44195 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NELLA BLYUMIN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790771863, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 2 + 8 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1790771863.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hospice and Palliative Medicine)
9500 EUCLID AVE
CLEVELAND, OH 44195
Specialist
9500 EUCLID AVE, R35
CLEVELAND, OH 44195
Anesthesiology
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Physical Medicine & Rehabilitation (Pain Medicine)
9500 EUCLID AVE, C-21
CLEVELAND, OH 44195
Internal Medicine (Cardiovascular Disease)
9500 EUCLID AVE, WL20
CLEVELAND, OH 44195
Internal Medicine (Cardiovascular Disease)
9500 EUCLID AVE, TW10
CLEVELAND, OH 44195
Internal Medicine (Interventional Cardiology)
9500 EUCLID AVE
CLEVELAND, OH 44195
Social Worker
9500 EUCLID AVE, DESK S20
CLEVELAND, OH 44195
Internal Medicine (Pulmonary Disease)
9500 EUCLID AVE
CLEVELAND, OH 44195
Audiologist
9500 EUCLID AVE
CLEVELAND, OH 44195
Anesthesiologist Assistant
9500 EUCLID AVE
CLEVELAND, OH 44195
Family Medicine
9500 EUCLID AVE, WH10
CLEVELAND, OH 44195
Radiology (Diagnostic Radiology)
9500 EUCLID AVE
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE, ECC-1
CLEVELAND, OH 44195
Family Medicine (Sports Medicine)
9500 EUCLID AVE, A 41
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE, JJ-60
CLEVELAND, OH 44195
Psychiatry & Neurology (Neurology)
9500 EUCLID AVE, S51
CLEVELAND, OH 44195
Pediatrics
9500 EUCLID AVE
CLEVELAND, OH 44195
Internal Medicine (Clinical Cardiac Electrophysiology)
9500 EUCLID AVE, WL20
CLEVELAND, OH 44195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790771863, enumerated as an "individual" on September 23, 2005.

The provider is located at 9500 EUCLID AVE CLEVELAND, OH 44195 and the phone number is (800) 223-2273.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.