DR. KURT BLOOMSTRAND (MD) – Emergency Medicine Physician, NPI 1710326350

DR. KURT BLOOMSTRAND (MD) is a healthcare provider. based in Urbana, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 125.062907 (IL). The NPI Number for DR. KURT BLOOMSTRAND (MD) is 1710326350

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KURT BLOOMSTRAND (MD)
NPI
1710326350
Phone
Not provided
Address
1400 W PARK ST
Enumeration Date
17 June 2013
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2176936220
Graduation Year
2013 (13 years ago)
PAC ID
3971824814
Group Practice PAC ID
0042702144
Professional Enrollment ID
I20151110002949
Address ID
IL618207219CH2043XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DR. KURT BLOOMSTRAND (MD)

  • 1400 W PARK ST

    OSF HEALTHCARE HEART OF MARY MEDICAL CENTER

    URBANA, IL 618012334

    Phone:

    Mailing address matches the actual address.

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: 2015-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151110002949IEmergency MedicineILTBD

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 making181169$0
99284Emergency department visit with moderate level of medical decision making7364$0
99283Emergency department visit with low level of medical decision making1414$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 0042702144View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KURT BLOOMSTRAND (MD)?
DR. KURT BLOOMSTRAND (MD) — NPI 1710326350 — is the standard way to identify this listing.
Is DR. KURT BLOOMSTRAND (MD) still practicing?
DR. KURT BLOOMSTRAND (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. KURT BLOOMSTRAND (MD) hold?
Scheduling teams often label DR. KURT BLOOMSTRAND (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KURT BLOOMSTRAND (MD)?
DR. KURT BLOOMSTRAND (MD)'s geographic hint is Urbana, Illinois in our summary view.
Is the information about DR. KURT BLOOMSTRAND (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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