DR. RAPHAEL T BLOOMGARDEN (M.D.) – Cardiovascular Disease Physician, NPI 1700834041
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,006 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA
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Provider Addresses for DR. RAPHAEL T BLOOMGARDEN (M.D.)
3500 N BROAD ST RM 1A
PHILADELPHIA, PA 191404106
Phone: (215) 926-9019
Fax: (215) 233-9710
Type: Mailing
1722, Bethlehem Pike, Valley Green, Springfield Township, Montgomery County, Pennsylvania, 19031, United States
CHESTNUT HILL CARDIOLOGY LTD
FLOURTOWN, PA 190311644
Phone: (215) 233-9700
Fax: (215) 233-9710
Type: Location
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
PHILADELPHIA, PA 191820933
Phone: (215) 233-9700
Fax: (215) 233-9710
Type: Mailing
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: 2010-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100505000957 | I | Cardiovascular Disease (Cardiology) | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19140)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | PA | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Internal Medicine, Endocrinology | PA | |
| Family Practice | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| Geriatric Medicine, Family Practice | PA | |
| - | PA | |
| - | PA |
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