DR. ALFONSO A BLUM (M.) – Internal Medicine Physician, NPI 1790810448

DR. ALFONSO A BLUM (M.) is a healthcare provider. based in St john, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials M.. They hold a License No. 01062815A (IN). The NPI Number for DR. ALFONSO A BLUM (M.) is 1790810448

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALFONSO A BLUM (M.)
NPI
1790810448
Phone
(219) 226-2203
Address
9660 WICKER AVENUE
Enumeration Date
22 February 2007
Last Update Date
13 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
8921196452
Group Practice PAC ID
0547521452
Professional Enrollment ID
I20071117000070
Address ID
IN463123078EA4320XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,511 INTERNAL MEDICINE in IN

Provider Addresses for DR. ALFONSO A BLUM (M.)

  • 9660 WICKER AVENUE

    ST JOHN, IN 463739487

    Phone: (219) 226-2203

    Fax: (219) 226-2202

    Type: Mailing

  • 4035 ELM STREET

    EAST CHICAGO, IN 463123042

    Phone: (219) 398-9840

    Fax: (219) 398-9845

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $2,642.

Total Amount is formed as General ($2,642) + Research ($0) + Ownership ($0) = $2,642.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Amgen Inc. ($603).

Total Amount

$2,642

General + Research + Ownership

Payments

152

Total payment records

General Amount

$2,642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-11-17

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
I20071117000070IInternal MedicineINTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes28985$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6146$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3931$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3432$0
99238Hospital discharge day management, 30 minutes or less2919$0
View full utilization report →

Insurance plans in this area (ZIP 46373)

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Provider's Procedures

DR. ALFONSO A BLUM (M.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIN83036Hemoglobin A1C level213131

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: 0547521452View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIN
-IL
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YKY
Internal MedicineIN
Internal MedicineIN
O B S T E T R I C S/ G Y N E C O L O G YIL
Internal MedicineIL

Reviews

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Frequently asked questions

Where can patients find DR. ALFONSO A BLUM (M.)'s NPI?
You can confirm DR. ALFONSO A BLUM (M.) with NPI 1790810448; it appears in the national provider directory.
Does this profile mean DR. ALFONSO A BLUM (M.) is currently active?
Yes — DR. ALFONSO A BLUM (M.) appears active in the national provider directory.
What field does DR. ALFONSO A BLUM (M.) work in?
You can think of DR. ALFONSO A BLUM (M.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ALFONSO A BLUM (M.)?
The snapshot lists St John, Indiana for DR. ALFONSO A BLUM (M.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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