Dr David Louis Bloom, MD in Salt Lake City, UT

Dr David Louis Bloom, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Salt Lake City, Utah. His current practice location is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-1000.

Dr David Louis Bloom is licensed to practice in Utah (license number 14001107-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598129850.

Contact Information

	Dr David Louis Bloom, MD
	100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
	(801) 662-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David Louis Bloom
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	100 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598129850
Provider Enumeration Date: 04/12/2016
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0446596092
Enrollment ID: I20230125000082

Medical Identifiers

Medical identifiers for Dr David Louis Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598129850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	14001107-1205 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Louis Bloom allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Louis Bloom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr David Louis Bloom, MD 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (801) 587-7400	Dr David Louis Bloom, MD 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-1000

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Dr David Louis Bloom, MD - Medicare Pediatrics in Salt Lake City, UT