RANDALL E BLOME MD NPI 1861457384

NPI Information

  • NPI: 1861457384
  • Provider Name: RANDALL E BLOME, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9605 GRAND RONDE RD
    GRAND RONDE, OR
    ZIP 97347
  • Phone: (503) 879-2002

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NPI Details

Randall E Blome, MD is a family medicine in Grand Ronde, OR with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Randall E Blome, MD NPI is 1861457384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:1986

The provider's business location address is:

9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347-712
Phone: (503) 879-2002
Fax: (503) 879-2015

The NPI 1861457384 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Hemoglobin a1c level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Iron level (HCPCS:83540)
  • Iron binding capacity (HCPCS:83550)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
  • Automated urinalysis test (HCPCS:81003)
  • Folic acid level, serum (HCPCS:82746)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Uric acid level, blood (HCPCS:84550)

The enumeration date for this NPI number is 4/18/2006 and was last updated on 10/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD17595OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10200572OTHERWASHINGTONWA LABOR & INDUSTRIES
2034558MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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