Individual provider Active NPI

Jason Adams, M.D.

  • Anesthesiology Physician
  • Ypsilanti, MI
National Provider Identifier
1013955376
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301072738 Issued in MI
Practice address
5301 E Huron River Dr Ste 5
Ypsilanti, MI 48197-1051
Phone
(734) 712-5898
NPI assigned
Jun 2, 2006
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.140959 OH
Anesthesiology Physician 207L00000X 4301072738 MI Primary

Addresses

Primary practice location

5301 E Huron River Dr Ste 5
Ypsilanti, MI 48197-1051

Mailing address

55 Gunther CT
Saline, MI 48176-9600

Other practice location 1

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-5000

Other practice location 2

3330 Meijer Dr Ste 2
Toledo, OH 43617-3103
Phone (419) 578-2020

Other identifiers 1

IdentifierTypeStateIssuer
104309065MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041228000962 MI Practitioner - Anesthesiology 5890753529 Reassigns benefits to 1 organization
I20201216000844 OH Practitioner - Anesthesiology 5890753529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians

Practice addresses (Care Compare)

2006 Hogback Rd
Ann Arbor, MI 48105-9750

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone (734) 712-3456

620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6316

775 S Main St
Chelsea, MI 48118-1383
Phone (734) 475-3245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072738MIMDAnesthesiology Physician
35.140959OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A4 of Ohio, LLC Anesthesiology CurrentSince Feb 9, 2021 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Anesthesiology CurrentSince Aug 15, 2016 Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740

3330 Meijer Dr
#2
Toledo, OH 43617
Phone (567) 225-3394

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.

Hospital & facility affiliations 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1013955376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GUNTHER CT",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E HURON RIVER DR STE 5",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971051",
            "telephone_number": "734-712-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2951 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011406",
            "country_code": "US",
            "telephone_number": "740-454-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Meijer Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173103",
            "country_code": "US",
            "telephone_number": "419-578-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.140959",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301072738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104309065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.