Individual provider Active NPI

Adam P Beck, MD

  • Ophthalmology Physician
  • Londonderry, NH
National Provider Identifier
1003818600
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12594 Issued in NH
Practice address
75 Gilcreast Rd
Suite 210
Londonderry, NH 03053-3564
Phone
(603) 421-0095
Fax
(603) 421-0093
NPI assigned
Aug 12, 2005
Last updated
Oct 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 217143 MA
Ophthalmology Physician 207W00000X 12594 NH Primary

Addresses

Primary practice location

75 Gilcreast Rd
Suite 210
Londonderry, NH 03053-3564

Mailing address

6 Windsor St
Andover, MA 01810-2605
Phone (978) 682-4040

Other identifiers 2

IdentifierTypeStateIssuer
30204108MedicaidNH
2014688MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713001004 MA Practitioner - Ophthalmology 1759353329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Marston St
Lawrence, MA 01841-2355
Phone (978) 682-4040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217143MAMDSocial Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1003818600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WINDSOR ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102605",
            "telephone_number": "978-682-4040",
            "fax_number": "978-682-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GILCREAST RD",
            "address_2": "SUITE 210",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533564",
            "telephone_number": "603-421-0095",
            "fax_number": "603-421-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "ADAM",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "217143",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "12594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204108",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014688",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.