DR. KENNETH EVAN BLOOM DPM
NPI 1811983372
Podiatrist - Foot & Ankle Surgery in Mooresville, NC

Q: What is Kenneth Bloom's NPI number?

The NPI number for Kenneth Bloom is 1811983372. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Kenneth Bloom's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bloom was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment

137 PROFESSIONAL PARK DR, SUITE C, MOORESVILLE, NC 28117(704) 662-8336(704) 662-8525 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2023, May 11, 2017 (2 updates tracked since 2017).

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About Dr. Kenneth Evan Bloom Dpm NPPES

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

DR. KENNETH EVAN BLOOM DPM (NPI 1811983372) is an individual foot & ankle surgery provider in Mooresville, North Carolina, licensed in North Carolina (414) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1811983372

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KENNETH EVAN BLOOMCredential: DPM

Location Address137 PROFESSIONAL PARK DR, SUITE CMooresville, NC 28117-6540

Mailing Address137 Professional Park Dr, Suite CMooresville, NC 28117-6540 · (704) 662-8336 · Fax (704) 662-8525

Phone(704) 662-8336

Fax(704) 662-8525

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateSeptember 21, 2005

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1811983372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NC · 414

Also ListedPodiatristTaxonomy 213E00000X · License 414 (NC)

137 PROFESSIONAL PARK DR, Mooresville, NC 28117

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Other Identifiers 1

Medicaid790800HNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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. Kenneth Evan Bloom Dpm 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 ID1355383654

PECOS Enrollment IDI20070619000148

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 14

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.

387 services215 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.

216 services216 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

124 services107 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

73 services18 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

62 services51 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

43 services30 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

28 services12 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

27 services16 patients

Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following i G0247

Routine foot care for diabetic patients with sensory neuropathy involves a doctor caring for minor wounds on the foot's surface. This includes managing any superficial injuries, ensuring they heal properly to prevent further complications. It's a crucial part of maintaining good foot health.

23 services17 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

19 services11 patients

Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) G0246

This is a regular check-up for diabetes patients with nerve damage, leading to loss of sensation. The process involves discussing your health history, followed by an examination to assess your physical condition. It's crucial to monitor your health to manage diabetes and its complications effectively.

18 services13 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

13 services12 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

12 services12 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

2 suppliers13 claims13 services$59.13 avg. paid by Medicare

Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment L1930

DME-Orthotic Devices · category DF003N

2 suppliers24 claims24 services$166.80 avg. paid by Medicare

Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf L4387

DME-Orthotic Devices · category DF000N

2 suppliers14 claims14 services$127.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

CHERYL TAN NAVARRO-MCGUINNESS D.O.

Family Medicine

137 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117

Iredell County (704) 663-4443

STEPHEN FERGUSON

Internal Medicine

137 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117

Iredell County (704) 660-2634

PIEDMONT HEALTHCARE, PA

Durable Medical Equipment & Medical Supplies

137 PROFESSIONAL PARK DR, SUITE C
MOORESVILLE, NC 28117

Iredell County (704) 662-8336

DR. KURT ASHLEY MASSEY DPM

Podiatrist (Foot & Ankle Surgery)

137 PROFESSIONAL PARK DR, SUITE C
MOORESVILLE, NC 28117

Iredell County (704) 662-8336

AUBREY CALHOUN

Internal Medicine

137 PROFESSIONAL PARK DR, SUITE A
MOORESVILLE, NC 28117

Iredell County (704) 663-4443

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 Kenneth Bloom's NPI number?

The NPI number for Kenneth Bloom is 1811983372. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Kenneth Bloom located?

Kenneth Bloom practices at 137 Professional Park Dr Suite C, Mooresville, NC 28117. The listed phone number is (704) 662-8336.

What is Kenneth Bloom's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Kenneth Bloom enrolled in Medicare?

Yes. Kenneth 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.

What insurance does Kenneth Bloom accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kenneth Bloom 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.

Is Kenneth Bloom affiliated with any hospitals?

According to CMS data, Kenneth Bloom is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Bloom was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.