Russell Adams, MD
Individual provider Active NPI Internal Medicine Physician · Waterloo, IA
NPI 1023094265 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1023094265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 22028 (IA)
- Practice address
- 146 W Dale St
Suite 201
Waterloo, IA 50703-1901 - Phone
- (319) 234-4431
- Fax
- (319) 235-5004
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Owned or controlled facilities with NPI records 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Allen Hospital |
Hospital | Contracted Managing Employee | Jan 1, 2018 |
| Hillcrest Home, Inc. |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2024 Feb 10, 2026 |
| Northcrest Specialty Care |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2024 Aug 5, 2025 |
| Unitypoint Hospice |
Hospice | W-2 Managing Employee | Jan 1, 2024 |
| Unitypoint Health-Family Medicine Clinic-Conrad |
Rural health clinic | Contracted Managing Employee | Mar 20, 2025 |
| Unitypoint Clinic - Family Medicine - Parkersburg |
Rural health clinic | Contracted Managing Employee | Jan 1, 2018 |
| Unitypoint Clinic - Family Medicine - Grundy Center |
Rural health clinic | Contracted Managing Employee | Jan 1, 2018 |
| Unitypoint Clinic - Family Medicine - Rohlf Memorial |
Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jan 1, 2018 Jan 1, 2018 |
| Unitypoint Clinic - Family Medicine - Denver |
Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jan 1, 2018 Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000078 | IA | Practitioner - Internal Medicine | 3375515810 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22028 | IA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
Interoperability endpoints
- radams108199@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22028 | IA | Yes |
Addresses
Primary practice location
146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Mailing address
146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Phone (319) 234-4431
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0195768 | Medicaid | IA | |
| 1195768 | Medicaid | IA | |
| 2195768 | Medicaid | IA |
Other providers in Waterloo, IA
- Acton Optical, LLC
- Alexis M Adams
- Chloe Adams
- Jennifer Jae Adams
- Melissa Sue Adams
- Burton Ronald Adrian
- Advanced Arm Dynamics of the
- Affinity Family Therapy
- Mohammad A Afridi
- Ashar Afzal
All providers in Waterloo, IA · Internal Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.