DR. ROMI BLOOM (M.D.) – Dermatology Physician, NPI 1750735593

DR. ROMI BLOOM (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 036158393 (IL). The NPI Number for DR. ROMI BLOOM (M.D.) is 1750735593

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROMI BLOOM (M.D.)
NPI
1750735593
Phone
(617) 726-5254
Address
55 FRUIT ST # BH616
Enumeration Date
18 April 2016
Last Update Date
21 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
8472724433
Graduation Year
2017 (9 years ago)
PAC ID
8123319787
Group Practice PAC ID
2264427251
Professional Enrollment ID
I20220704000061
Address ID
IL600627930NO400XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

744 DERMATOLOGY in MA

Provider Addresses for DR. ROMI BLOOM (M.D.)

  • 55 FRUIT ST # BH616

    BOSTON, MA 021142621

    Phone: (617) 726-5254

    Type: Mailing

  • 400 SKOKIE BLVD STE 475

    NORTHBROOK, IL 600627930

    Phone: (847) 272-4433

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,729.

Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($291).

Total Amount

$1,729

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,729

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-07-04

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
I20220704000061IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths837130$0
99213Established patient office or other outpatient visit, 20-29 minutes359266$0
17110Destruction of skin growth, 1-14 growths308214$0
17000Destruction of precancer skin growth, 1 growth289199$0
88305Pathology examination of tissue using a microscope, intermediate complexity180111$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 2264427251View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
Physician AssistantIL
D E R M A T O L O G YID
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

What NPI should I save for DR. ROMI BLOOM (M.D.)?
Save NPI 1750735593 if you need a stable reference for DR. ROMI BLOOM (M.D.).
Is DR. ROMI BLOOM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. ROMI BLOOM (M.D.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. ROMI BLOOM (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ROMI BLOOM (M.D.)?
The snapshot lists Boston, Massachusetts for DR. ROMI BLOOM (M.D.); download NPPES for the complete set.
Is DR. ROMI BLOOM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1750735593. Always confirm identity and privileges with the practice and licensing boards.

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