Jack Anthony Blumberg, MD/MBA
NPI 1184362865ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Royal Oak, MI
Pathology, Anatomic Pathology & Clinical Pathology (MD/MBA) in Royal Oak, Michigan, licensed in MI, with an NPI issued in May 2022.
Overview
| NPI | 1184362865 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD/MBA |
| Sole proprietor | No |
| NPI issued | May 23, 2022 |
| Last updated in NPPES | Jun 6, 2024 |
| Certified by provider | Jun 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 4351052370 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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