OrganizationActiveAccepts Medicare
R Lamont Bloom MD PA
NPI 1497023741 · Specialist · Wichita, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1497023741
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- R. Bloom, President(316) 265-0705
- License
- 04-18702 (KS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
406 E Central Ave
Wichita, KS 67202-1058
Phone: (316) 265-0705
Fax: (316) 265-0785
Street-level locationGet directions
Mailing address
406 E Central Ave
Wichita, KS 67202-1058
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2011-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.