NPIMap

Individual provider Active NPI

Russell Adams, MD

  • Internal Medicine Physician
  • Waterloo, IA
National Provider Identifier
1023094265
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22028 Issued in 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
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22028 IA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000078 IA Practitioner - Internal Medicine 3375515810 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22028IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: radams108199@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allen HospitalWaterloo, IA, CCN 160110 Hospital Contracted Managing Employee Jan 1, 2018
Hillcrest Home, Inc.Sumner, IA, CCN 165502 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Feb 10, 2026
Northcrest Specialty CareWaterloo, IA, CCN 165165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Aug 5, 2025
Unitypoint HospiceWaterloo, IA, CCN 161598 Hospice W-2 Managing Employee Jan 1, 2024
Unitypoint Health-Family Medicine Clinic-ConradConrad, IA, CCN 168579 Rural health clinic Contracted Managing Employee Mar 20, 2025
Unitypoint Clinic - Family Medicine - ParkersburgParkersburg, IA, CCN 168635 Rural health clinic Contracted Managing Employee Jan 1, 2018
Unitypoint Clinic - Family Medicine - Grundy CenterGrundy Center, IA, CCN 168634 Rural health clinic Contracted Managing Employee Jan 1, 2018
Unitypoint Clinic - Family Medicine - Rohlf MemorialWaverly, IA, CCN 168650 Rural health clinic Contracted Managing Employee
Operational/Managerial Control		 Jan 1, 2018
Jan 1, 2018
Unitypoint Clinic - Family Medicine - DenverDenver, IA, CCN 168649 Rural health clinic Contracted Managing Employee
Operational/Managerial Control		 Jan 1, 2018
Jan 1, 2018

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1023094265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W DALE ST",
            "address_2": "SUITE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031901",
            "telephone_number": "319-234-4431",
            "fax_number": "319-235-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W DALE ST",
            "address_2": "SUITE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031901",
            "telephone_number": "319-234-4431",
            "fax_number": "319-235-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "22028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.