DR. BARRY THEIL BLOOM MD
NPI 1043274566
Pediatrics - Neonatal-Perinatal Medicine in Wichita, KS
NPI Status: Active since April 13, 2006
Contact Information
550 N HILLSIDE ST
WESLEY DEPARTMENT OF NEONATOLOGY
WICHITA, KS
ZIP 67214
Phone: (316) 259-0810
- Individual
- Male
- Pediatrics
- Neonatal-Perinatal Medicine
- Accepts Insurance
- PECOS Enrolled
About BARRY BLOOM
This page provides the complete NPI Profile along with additional information for Barry Bloom, a pediatrician established in Wichita, Kansas with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1043274566 assigned on April 2006. The practitioner's primary taxonomy code is 2080N0001X with license number K19765 (KS). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1043274566
- Provider Name
- DR. BARRY THEIL BLOOM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 550 N HILLSIDE ST WESLEY DEPARTMENT OF NEONATOLOGY WICHITA, KS 67214
- Location Phone
- (316) 259-0810
- Mailing Address
- 550 N HILLSIDE ST WESLEY DEPARTMENT OF NEONATOLOGY WICHITA, KS 67214
- Mailing Phone
- (316) 259-0810
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-13-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Barry Bloom is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Neonatal-Perinatal Medicine
- Taxonomy Code
- 2080N0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- K19765
- License State
- KS
- Taxonomy Description
- A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Barry Bloom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 4 | 3 | 2 | 7 | 4 | 5 | 6 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 8 | 3 | 4 | 7 | 8 | 5 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 8 + 3 + 4 + 7 + 8 + 5 + 1 + 2 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1043274566 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1710989306 | MARK A KIRSCH MD Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1962404509 | PAUL H CARROLL MD Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1083606255 | VICTORIA L WHITWORTH CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1528050796 | LISA E BURR CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1083606271 | MARNA J ATKINSON CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1770575953 | JUDY D PARK CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1235121419 | KATY L HUXFORD CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1700878998 | MARGARET A THOMPSON CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1528050705 | MARIE E VICKERY CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1346232527 | JANICE M CLARKSON CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1063404069 | MAURICE KLIEWER MD Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1780679100 | AMY J MOTT CRNA Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-3030 |
1720063183 | DR. TERRY CARLSON MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 962-2877 |
1932170032 | IL-SUNG CHI MD Individual | Anesthesiology | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1629049622 | REBECCA FREUND CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1861468878 | MARILYN BASSELL CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1265408280 | BETHEL WENTZ CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1720055650 | DAVID WENTZ CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1336115393 | BETTY ANN BONTRAGER CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
1194791145 | CAROL BENNINGHOFF CRNA Individual | Nurse Anesthetist, Certified Registered | 550 N HILLSIDE ST WICHITA, KS 67214 (316) 789-8444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043274566, enumerated in the NPI registry as an "individual" on April 13, 2006
The provider is located at 550 N Hillside St Wesley Department Of Neonatology Wichita, Ks 67214 and the phone number is (316) 259-0810
The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.