SALLY S BLUM (PA) – Medical Physician Assistant, NPI 1609818665

Medical Physician Assistant

SALLY S BLUM (PA) is a healthcare provider. based in Mentor, Ohio. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. MA051937 (PA). The NPI Number for SALLY S BLUM (PA) is 1609818665

Main info

Female

22 Years Of Experience

Accepts Medicare Assignment

Name

SALLY S BLUM (PA)

NPI

1609818665

Phone

(440) 357-2770

Address

7060 WAYSIDE DR

Enumeration Date

12 June 2006

Last Update Date

17 August 2016

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2004 (22 years ago)

PAC ID

4284637158

Group Practice PAC ID

1850203555

Professional Enrollment ID

I20160915000559

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience75

Completeness75

Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for SALLY S BLUM (PA)

7060, Wayside Drive, Mentor, Lake County, Ohio, 44060, United States
MENTOR, OH 440606527
Phone: (440) 357-2770
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99213	Established patient office or other outpatient visit, 20-29 minutes	19	19	$0

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Insurance plans in this area (ZIP 44060)

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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: 1850203555View full group profile

Name	Specialty	State
LYDIA GLAUDE (PHD, RN)	-	NV
LAURA FERREIRA PROVENZANO (MD)	Nephrology, Internal Medicine	OH
MRS. TONYA RENEE GOINGS (ACNP-BC)	-	OH
KESHAVA MURTHY NARAYANA GOWDA (M.D)	-	MI
MS. DANA ANNE RUBIS (CNP)	Nurse Practitioner	OH
DR. RACHAEL C SULLIVAN (M.D.)	General Surgery, Anesthesiology, Critical Care (Intensivists)	OH
MRS. BRIDGET COLLEEN WU (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
DENISE LOUISE PAGE (NP-C)	-	OH
WILLIAM G IV GIBSON (FNP-C)	-	MN
ANNE M TOMSICH (CNP)	Nurse Practitioner	OH

Reviews

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Frequently asked questions

How do I look up SALLY S BLUM (PA) by NPI?

Use NPI 1609818665 when you need to reference SALLY S BLUM (PA) in forms, claims, or directories.

Is SALLY S BLUM (PA) currently active in the NPI registry?

CMS-published data lists SALLY S BLUM (PA) as an active registrant.

What does SALLY S BLUM (PA) treat or focus on?

Patients typically see SALLY S BLUM (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

Where does public data place SALLY S BLUM (PA)?

The snapshot lists Mentor, Ohio for SALLY S BLUM (PA); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.