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DR. JEREMY MATTHEW BLUMBERG M.D.
NPI 1982889622
Urology in Los Angeles, CA

Active since December 31, 2007PECOS Enrolled
81.14/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095(310) 794-7152(310) 794-1666 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeremy Matthew Blumberg M.d. NPPES

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

DR. JEREMY MATTHEW BLUMBERG M.D. (NPI 1982889622) is an individual urology provider in Los Angeles, California, licensed in California (A100479) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2005).

NPPES Registry Identity

NPI1982889622
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JEREMY MATTHEW BLUMBERGCredential: M.D.
Location Address200 UCLA MEDICAL PLZ STE 140Los Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 794-7152
Fax(310) 794-1666
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2005
Enumeration DateDecember 31, 2007
Last NPPES UpdateJanuary 7, 2020
✔ NPI 1982889622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A100479
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License A100479 (CA)
Also ListedPediatrics · Pediatric Transplant HepatologyTaxonomy 2080T0004X · License A100479 (CA)
200 UCLA MEDICAL PLZ STE 140, Los Angeles, CA 90095
Open in Google Maps ↗

Other Identifiers 1

Medicaid1982889622CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Matthew Blumberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850450594
PECOS Enrollment IDI20081110000461
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jeremy Blumberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Regents Of The University Of California
Same address
Urology
200 MEDICAL PLZ, SUITE 140
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1154389799 (310) 794-7700
County Of Los Angeles
3.5 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203
Adventist Health Physicians Network
13 mi
Urology
1560 E CHEVY CHASE DR STE 325
Glendale, CA 91206
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1396415949 (818) 630-8650
Reedley Community Hospital
184 mi
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
NPI 1336167550 (559) 638-8155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

81.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.94
Promoting Interoperability100
Improvement Activities40
Cost57.64

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.

SEAN JIN HYUK LEE PA-C
Physician Assistant
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-2536
VICTOR NITTI M.D.
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
DR. STUART HOLDEN
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 825-1172
JEFFREY L VEALE M.D.
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7152
DAVID KUPPERMANN MD
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 206-8164
JUAN JOSE ANDINO MD
Urology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
LINDA ALLAHYARIAN NP
Nurse Practitioner (Family)
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-3070
DR. TAMARA GRISALES M.D.
Obstetrics & Gynecology
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7274

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 Jeremy Blumberg's NPI number?

The NPI number for Jeremy Blumberg is 1982889622. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Jeremy Blumberg located?

Jeremy Blumberg practices at 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095. The listed phone number is (310) 794-7152.

What is Jeremy Blumberg's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jeremy Blumberg enrolled in Medicare?

Yes. Jeremy Blumberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeremy Blumberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Blumberg reassigns Medicare benefits to 4 organizations: The Regents Of The University Of California (Los Angeles, CA), County Of Los Angeles (Santa Monica, CA), Adventist Health Physicians Network (Glendale, CA) and Reedley Community Hospital (Reedley, CA). Each 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 Jeremy Blumberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Blumberg was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.