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DR. DAVID A BLUM MD
NPI 1861578197
Internal Medicine - Endocrinology, Diabetes & Metabolism in New Rochelle, NY

Active since October 30, 2006PECOS EnrolledAccepts Medicare Assignment
23.51/100
CMS Quality Rating
16 GUION PL, NEW ROCHELLE, NY 10801(914) 633-8680(914) 576-8500 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David A Blum Md NPPES

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

DR. DAVID A BLUM MD (NPI 1861578197) is an individual endocrinology, diabetes & metabolism provider in New Rochelle, New York, licensed in New York (124830) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore New Rochelle Hospital, and is a graduate of Northwestern University Feinberg Medical School (1974).

NPPES Registry Identity

NPI1861578197
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. DAVID A BLUMCredential: MD
Location Address16 GUION PLNew Rochelle, NY 10801-5503
Mailing Address16 Guion PlNew Rochelle, NY 10801-5503 · (914) 633-8680 · Fax (914) 576-8500
Phone(914) 633-8680
Fax(914) 576-8500
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1974
Enumeration DateOctober 30, 2006
Last NPPES UpdateApril 16, 2008
✔ NPI 1861578197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NY · 124830
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 124830 (NY)
16 GUION PL, New Rochelle, NY 10801
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Other Identifiers 4

Medicare PIN05A57YRPT1NY
Medicare PIN05A571NY
Medicare PIN05A57YQYY1NY
Medicare UPINC04962

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. David A Blum 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 ID4385667088
PECOS Enrollment IDI20060109000837
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
399 services164 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services41 patients
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.
40 services32 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Montefiore New Rochelle Hospital

Acute Care Hospitals · New Rochelle, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330184
Location16 Guion PlaceNew Rochelle, NY 10802 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

23.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.37

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
2 suppliers15 claims190 services$18.27 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
2 suppliers14 claims460 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
34 suppliers127 claims478 services$6.00 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers16 claims16 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
25 suppliers61 claims116 services$1.12 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier15 claims15 services$8.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. RAMATALLAH ATINUKE BALOGUN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
HYUN CHUNG MD
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
ELANA MIRIAM FRIEDMAN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
MICHELLE RENEE EWART MD
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
DR. DANIEL HAROLD POMERANTZ MD
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3615
DR. BURTON L HERZ M.D.
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 637-1396
DR. MA PAMELA GALLARDO DEMIGILLO MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-5000
ABHISHEK BASNET MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680

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 David Blum's NPI number?

The NPI number for David Blum is 1861578197. It was assigned to this individual provider in the NPPES registry on October 30, 2006.

Where is David Blum located?

David Blum practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 633-8680.

What is David Blum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is David Blum enrolled in Medicare?

Yes. David Blum 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.

Is David Blum affiliated with any hospitals?

According to CMS data, David Blum is affiliated with Montefiore New Rochelle Hospital.

When was this NPI record last updated?

The NPPES record for David Blum was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.