Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kenneth Edward Bloom , MD

Dermatology • Bronx, NY

Active NPI 1477536068 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1455 West Ave
Bronx, NY 104627304

Call 7182391500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1455 West Ave

Bronx, NY 104627304

Telephone 7182391500
Fax 2127653210
Organization at the Same NPPES Address or Phone
Advanced Dermatology Of New York, P.c. Facility NPI 1497017552

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Bronx, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Rush Medical College Of Rush University

Graduation Year

1984

Medicare patients

32 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $5,190 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $4,135 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

388 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$11,802 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $94.77 across 4 records.

By nature of payment

  • Food and Beverage: $94.77 across 4 records.

Reporting-company totals (3 largest of 4)

  • UCB, Inc.: $30.34 across 1 record.
  • SUN PHARMACEUTICAL INDUSTRIES INC.: $22.77 across 1 record.
  • Incyte Corporation: $21.52 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

42 years (graduated 1984)

CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bloom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bloom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bronx and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Dermatology in Bronx, NY (2024, 23 clinicians with data). Median for this group: 289. Middle half: 54 to 912.

Fewer Medicare Part B services than 95% of clinicians listed under Dermatology in New York (2024, 767 clinicians with data). Median for this group: 1,316. Middle half: 464 to 2,848.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Dermatology in Bronx, NY (2024, 23 clinicians with data). Median for this group: $27,299. Middle half: $5,163 to $81,796.

A lower Medicare-allowed amount than 95% of clinicians listed under Dermatology in New York (2024, 767 clinicians with data). Median for this group: $99,216. Middle half: $39,676 to $225,516.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Dermatology in Bronx, NY (2024, 23 clinicians with data). Median for this group: $21,253. Middle half: $4,012 to $59,007.

A lower Medicare payment amount than 90% of clinicians listed under Dermatology in New York (2024, 767 clinicians with data). Median for this group: $71,451. Middle half: $28,070 to $164,608.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Dermatology in Bronx, NY (2024, 25 clinicians with data). Median for this group: 797. Middle half: 283 to 1,494.

Close to the middle for clinicians listed under Dermatology in New York (2024, 898 clinicians with data). Median for this group: 441. Middle half: 150 to 948.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Dermatology in Bronx, NY (2024, 25 clinicians with data). Median for this group: $162,771. Middle half: $21,516 to $539,058.

A lower Part D drug cost than 60% of clinicians listed under Dermatology in New York (2024, 898 clinicians with data). Median for this group: $40,223. Middle half: $4,847 to $195,158.

37 active clinicians are listed under Dermatology with a practice address in Bronx, NY (1,211 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

18.9% of these 37 clinicians have the CMS telehealth indicator.

45.9% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $94.77.

Manufacturer Payment Nature Product Type Amount ($)
UCB, Inc.
Food and Beverage
In-kind items and services
Bimzelx General $30.34
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
YONSA General $22.77
Incyte Corporation
Food and Beverage
Cash or cash equivalent
OPZELURA General $21.52
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $20.14

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
29 16 $144.00 $103.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $181.00 $128.07

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Mometasone Furoate Mometasone Furoate 70 2,006 $1,649.91 23
Triamcinolone Acetonide Triamcinolone Acetonide 66 1,965 $535.52 32
Ammonium Lactate Ammonium Lactate 64 1,910 $1,064.69 23
Betamethasone Dipropionate Betamethasone Dipropionate 37 1,071 $1,504.63 11
Ketoconazole Ketoconazole 33 981 $665.77 —
Mupirocin Mupirocin 28 597 $217.56 —
Metronidazole Metronidazole 26 780 $1,999.32 —
Hydrocortisone Hydrocortisone 18 540 $793.65 —
Clobetasol Propionate Clobetasol Propionate 17 520 $2,453.80 —
Selenium Sulfide Selenium Sulfide 12 480 $258.93 —
Betamethasone Diprop Augmented Betamethasone/Propylene Glyc 11 330 $658.64 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES NY 169466

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
04134401 (NY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DERMATOLOGY

Medicare Enrollment ID

I20150609001213

Enrollment State Jurisdiction

NY

PECOS Control ID

2163429457

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2100 Bartow Ave Ste 211

Bronx, NY 104754614

Phone: 7186711000

291 E 149th St

Bronx, NY 104515601

Phone: 7186711000

2432 Grand Concourse Rm 501

Bronx, NY 104585204

Phone: 7185375000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Mike David

Physician Assistant

NPI 1013469295
Matthew Hislop , PA

Physician Assistant

NPI 1174062491

Physician Assistant

NPI 1730156225

Doctor of Medicine (M.D.)

Angela Libranti , PA

Physician Assistant

NPI 1497240675

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location August 22, 2019

Registered at 1455 WEST AVE, BRONX, NY 104627304 (Tel: 7182391500)

📍
Updated Business Mailing Address August 22, 2019

Registered at 200 CENTRAL PARK S APT 107, NEW YORK, NY 100191449 (Tel: 2122622500)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dermatology (license number reported to NPPES: NY 169466)

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NPI Profile Active April 18, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) April 18, 2016

Registered at 2601 OCEAN PKWY, BROOKLYN, NY 112357745 (Tel: 7186163897)

📍
Business Mailing Address (Initial Record) April 18, 2016

Registered at 20 AVE AT PORT IMPERIAL, #202, WEST NEW YORK, NJ 070938417 (Tel: 7186163897)

👤
Provider Name / Credentials (Initial Record) April 18, 2016

Recorded as KENNETH BLOOM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2016

Dermatology (license number reported to NPPES: MN 33969)

🟢
Initial NPI Registration & Enumeration November 28, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477536068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2005
Last Update: August 22, 2019
Sole Proprietor: No

Other Dermatology Specialists in Bronx

All Dermatology Specialists in Bronx

Mailing Address

200 Central Park S Apt 107

New York, NY 100191449

Phone: 2122622500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.