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

Nathan Michael Bloom, MD

Individual provider Family Medicine Physician · NPI 1164629218

Nathan Michael Bloom, MD is a Family Practice in Lawrence, Kansas. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
KS
In the registry since
2007
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

4921 W 18th St
Lawrence, KS 66047-2090
Phone: (785) 830-0100
Fax: (785) 830-0115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0432319 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9406871 (KS)

Record details

NPI number1164629218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 2, 2007
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address4921 W 18th St, Lawrence, KS 66047-2090

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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