Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kim Rita Blumberg, MD

Individual provider Anesthesiology Physician · NPI 1053380964

Dr. Kim Rita Blumberg, MD is an Anesthesiology in Charlotte, North Carolina. Graduated from University of Texas Medical Branch at Galveston in 2002, 24 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group and accepts Medicare assignment. Licensed in Indiana and North Carolina.

Years since qualifying
24
Trained at
University of Texas Medical Branch at Galveston
Licensed in
IN, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 749-5800
Fax: (704) 749-5819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2010-01959 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 01058708A (IN)

Record details

NPI number1053380964
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 22, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2002 (24 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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