KEITH D BLOOM (MD) – Urology Physician, NPI 1831177948
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
861 UROLOGY in TX
Provider Addresses for KEITH D BLOOM (MD)
South Cooper Street, Watsonville, Arlington, Tarrant County, Texas, 76001, United States
ARLINGTON, TX 760175993
Phone: (866) 367-8768
Fax: (817) 541-9555
Type: Mailing
7701 LAS COLINAS RDG STE 460
IRVING, TX 750638081
Phone: (866) 367-8768
Fax: (817) 541-9301
Type: Location
North MacArthur Boulevard, Irving, Dallas County, Texas, 75063, United States
IRVING, TX 750612219
Phone: (866) 367-8768
Fax: (817) 541-9301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $2,050.
Total Amount is formed as General ($2,050) + Research ($0) + Ownership ($0) = $2,050.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($401).
Total Amount
$2,050
General + Research + Ownership
Payments
81
Total payment records
General Amount
$2,050
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $401 |
| Janssen Biotech, Inc. | $191 |
| PROCEPT BioRobotics Corporation | $156 |
| Astellas Pharma US Inc | $128 |
| ABBVIE INC. | $114 |
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: 2012-04-27
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 |
|---|---|---|---|---|
| I20120427000397 | I | Urology | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 468 | 353 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 326 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 390 | 311 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 164 | $0 |
| 81002 | Urinalysis, manual test | 135 | 119 | $0 |
Insurance plans in this area (ZIP 76017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CO | |
| U R O L O G Y | TX | |
| U R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| U R O L O G Y | TX | |
| Physician Assistant | FL | |
| Interventional Radiology | TX | |
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| U R O L O G Y | TX |
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