MICHAEL R. BLUM (M.D.) – Emergency Medicine Physician, NPI 1649229816

MICHAEL R. BLUM (M.D.) is a healthcare provider. based in Marina del rey, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 19575 (NV). The NPI Number for MICHAEL R. BLUM (M.D.) is 1649229816

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL R. BLUM (M.D.)
NPI
1649229816
Phone
(310) 301-2030
Address
4551 GLENCOE AVE
Enumeration Date
8 May 2006
Last Update Date
5 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
7022167335
Graduation Year
1995 (31 years ago)
PAC ID
8426945866
Group Practice PAC ID
2163968603
Professional Enrollment ID
I20200221000638
Address ID
NV891478085LA9880XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for MICHAEL R. BLUM (M.D.)

  • Marina Del Rey Post Office, 4325 Suite C9, Glencoe Avenue, Los Angeles, Los Angeles County, California, 90292, United States

    SUITE 260

    MARINA DEL REY, CA 902926385

    Phone: (310) 301-2030

    Fax: (310) 306-5247

    Type: Mailing

  • Victor Valley Global Medical Center, 15248, 11th Street, Victorville, San Bernardino County, California, 92393, United States

    EMERGENCY DEPARTMENT

    VICTORVILLE, CA 923953704

    Phone: (760) 245-8691

    Fax: (760) 843-6020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040301001308IEmergency MedicineCATBD
I20200221000638IEmergency MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making6664$0
99284Emergency department visit with moderate level of medical decision making3131$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 90292)

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Provider's Procedures

MICHAEL R. BLUM (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA71010X-ray of chest, 1 view, front6767

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163968603View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineTN
Emergency MedicineIL
Nurse PractitionerTX
Emergency MedicineLA
Emergency MedicineCA
Emergency Medicine, Family PracticeTN
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineOH

Reviews

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Frequently asked questions

Does MICHAEL R. BLUM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL R. BLUM (M.D.) uses 1649229816.
Can I rely on MICHAEL R. BLUM (M.D.) being an active provider?
As of the registry snapshot, MICHAEL R. BLUM (M.D.) is marked active.
What healthcare role does MICHAEL R. BLUM (M.D.) hold?
Scheduling teams often label MICHAEL R. BLUM (M.D.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MICHAEL R. BLUM (M.D.) list a practice location?
Patients near Marina Del Rey, California may find MICHAEL R. BLUM (M.D.) in results; validate coverage separately.
Why does MICHAEL R. BLUM (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.