Active NPI
Brian A. Adams, MD
- Family Medicine Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01062867A
- Practice address
- 2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609 - Phone
- (260) 458-3760
- Fax
- (260) 458-3761
- NPI assigned
- Aug 9, 2006
- Last updated
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01062867A | IN | Primary |
Addresses
Primary practice location
2512 E Dupont Rd Ste 200
Fort Wayne, IN 46825-1609
Mailing address
6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934
Phone (260) 479-3516
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000520365 | Other | BLUE CROSS BLUE SHIELD | |
| 200844730 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brian.adams@lutheranhealthnetwork.cernerdirect.com | ||
| Direct Messaging Address | brian.adams@lutheranhealthnetwork.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2512 E Dupont Rd
Fort Wayne, IN 46825-1609
2516 E Dupont Rd
Fort Wayne, IN 46825-1608
Phone (260) 434-6076
Hospital & facility affiliations
- Eleos Hospice Care
- Dupont Hospital LLC
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
- Indiana University Health Bloomington Hospital
- Columbus Regional Hospital
- Ashton Creek Health and Rehabilitation Center
- Ossian Health Care and Rehabilitation Center
- Englewood Health & Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients |
Locations
2512 E DuPont Rd
Ste 200
Fort Wayne, IN 46825
Phone (260) 458-3760
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
3534 Brooklyn Ave
Fort Wayne, IN 46809
Phone (219) 478-5180
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7916 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 432-2298
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5Gnoym9jLjd2Os4NZp-YnJHFwjsCsY-K/
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ossian Health Care and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jun 1, 2012 Jun 1, 2012 |
| Englewood Health & Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2012 Aug 1, 2012 |
| Ashton Creek Health and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2014 Aug 1, 2014 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Ashton Creek Health and Rehabilitation Center
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1326310400
Adp of the SNF, Operational/Managerial Control
-
dba Englewood Health & Rehabilitation Center
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1427165059
Adp of the SNF, Operational/Managerial Control
-
dba Ossian Health & Rehabilitation Center
- Skilled Nursing Facility
- Ossian, IN
- NPI 1801903398
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Ashton Creek Health and Rehabilitation Center
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1326310400
Nursing home
-
dba Englewood Health & Rehabilitation Center
- Skilled Nursing Facility
- Fort Wayne, IN
- NPI 1427165059
Nursing home
-
dba Ossian Health & Rehabilitation Center
- Skilled Nursing Facility
- Ossian, IN
- NPI 1801903398
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1013927904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 POINTE INVERNESS WAY STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468047934",
"telephone_number": "260-479-3516",
"fax_number": "260-479-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 E DUPONT RD STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251609",
"telephone_number": "260-458-3760",
"fax_number": "260-458-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BRIAN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01062867A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000520365",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200844730",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.adams@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2516 E DuPont Rd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468251608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.adams@lutheranhealthnetwork.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2512 E DuPont Rd Ste 200",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468251609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
- Adams County Memorial Hospital (Chateau Rehabilitation and Healthcare Center)
- Adams County Memorial Hospital (Heritage Pointe of Fort Wayne)
- Adams County Memorial Hospital (Saint Anne home)
- Susan M Adams-Hayes, FNP
- Abigail Adams
- Elizabeth A Adams, NP
- Grace A. Adams
- Grant Adams, MD
- Judy A Adams, MS
- Kathleen Adams, MSED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.