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

Michael Lloyd Blum, MD

Individual provider Gastroenterology Physician · NPI 1134115165

Michael Lloyd Blum, MD is a Gastroenterology in Fort Wayne, Indiana. Qualified in 1983, 43 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Indiana and Kentucky.

Years since qualifying
43
Licensed in
FL, IN, KY
In the registry since
2005
Specialties on file
3
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

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone: (260) 266-5230
Fax: (260) 266-5238
Show map & directions

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

Additional practice locations (2)

  • 4675 Linton Blvd, Delray Beach, FL 33445-6611 — (561) 495-5700
  • 2525 W University Ave Ste 300, Muncie, IN 47303-3432 — (765) 289-5408

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME52969 (FL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 52634 (KY)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 01083133A (IN)

Record details

NPI number1134115165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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