DR. TAMMY LEE BLOOM (M.D.) – Urology Physician, NPI 1164482949

DR. TAMMY LEE BLOOM (M.D.) is a healthcare provider. based in Portsmouth, Virginia. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 37480-020 (WI). The NPI Number for DR. TAMMY LEE BLOOM (M.D.) is 1164482949

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMMY LEE BLOOM (M.D.)
NPI
1164482949
Phone
(757) 953-2374
Address
620 JOHN PAUL JONES CIR
Enumeration Date
24 March 2006
Last Update Date
4 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
3608822778
Graduation Year
1994 (32 years ago)
PAC ID
7214309269
Group Practice PAC ID
3173436490
Professional Enrollment ID
I20230221000763
Address ID
WA986862719VA2525XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

319 UROLOGY in VA

Provider Addresses for DR. TAMMY LEE BLOOM (M.D.)

  • 620 JOHN PAUL JONES CIR

    DEPARTMENT OF UROLOGY NAVAL MEDICAL CENTER

    PORTSMOUTH, VA 237082111

    Phone: (757) 953-2374

    Fax: (757) 953-2375

    Type: Mailing

  • 620 John Paul Jones Cir

    Department of Urology Naval Medical Center

    Portsmouth, VA 237082111

    Phone: (757) 953-2374

    Fax: (757) 953-2375

    Type: Location

  • 700 NE 87th Ave

    Vancouver, WA 986644896

    Phone: (136) 039-7443

    Type: Location

  • 2525 NE 139TH ST STE 220

    VANCOUVER, WA 986862719

    Phone: (360) 397-4437

    Type: Location

  • PO BOX 4825

    PORTLAND, OR 972084825

    Phone: (360) 397-4040

    Fax: (360) 604-1770

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $985.

Total Amount is formed as General ($985) + Research ($0) + Ownership ($0) = $985.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($835).

Total Amount

$985

General + Research + Ownership

Payments

11

Total payment records

General Amount

$985

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2023-02-21

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
I20230221000763IUrologyWATBD

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
81003Automated urinalysis test8265$0
99205New patient office or other outpatient visit, 60-74 minutes6666$0
99204New patient office or other outpatient visit, 45-59 minutes6464$0
99214Established patient office or other outpatient visit, 30-39 minutes3130$0
36415Insertion of needle into vein for collection of blood sample3025$0
View full utilization report →

Insurance plans in this area (ZIP 23708)

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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: 3173436490View full group profile
NameSpecialtyState
Physician AssistantTN
Internal Medicine, Infectious DiseasePA
Internal MedicineWA
Diagnostic RadiologyOR
Internal MedicineOR
O P H T H A L M O L O G YIA
-OR
Nurse PractitionerWA
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TAMMY LEE BLOOM (M.D.)'s NPI?
Yes. DR. TAMMY LEE BLOOM (M.D.) is listed with NPI 1164482949 in the public NPI dataset.
Can I rely on DR. TAMMY LEE BLOOM (M.D.) being an active provider?
As of the registry snapshot, DR. TAMMY LEE BLOOM (M.D.) is marked active.
What is DR. TAMMY LEE BLOOM (M.D.)'s primary classification?
Urology Physician is the headline specialty for DR. TAMMY LEE BLOOM (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. TAMMY LEE BLOOM (M.D.) based?
DR. TAMMY LEE BLOOM (M.D.) is tied to Portsmouth, Virginia in the data we show; additional addresses may exist on the full record.
Why does DR. TAMMY LEE BLOOM (M.D.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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