Individual provider Active NPI

Gregory Adaka, M.D.

  • Emergency Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1023426509
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
165030 Issued in NH
Practice address
9333 SW 152ND St
Palmetto Bay, FL 33157-1778
Phone
(305) 585-4109
Fax
(305) 355-2398
NPI assigned
Jul 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME133933 FL
Emergency Medicine Physician 207P00000X 165030 NH Primary

Addresses

Primary practice location

9333 SW 152ND St
Palmetto Bay, FL 33157-1778

Mailing address

8829 Cypress Preserve PL
Fort Myers, FL 33912-0829
Phone (603) 854-1230

Other practice location 1

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500 ext. 7353

Other practice location 2

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7500 ext. 7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171120000877 FL Practitioner - Emergency Medicine 3577784131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
81.82
Promoting interoperability
79
Improvement activities
40
Cost
80.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133933FLMDEmergency Medicine Physician
165030NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland EMS at Weems PL Emergency Medicine CurrentSince Nov 9, 2017 Accepting new patients
Southland Hospitalist at Weems PL Emergency Medicine CurrentSince Nov 9, 2017 Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023426509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8829 CYPRESS PRESERVE PL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120829",
            "telephone_number": "603-854-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 SW 152ND ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571778",
            "telephone_number": "305-585-4109",
            "fax_number": "305-355-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944411",
            "country_code": "US",
            "telephone_number": "603-569-7500 x7353",
            "fax_number": "603-515-2031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 S Main St",
            "address_purpose": "LOCATION",
            "city": "Wolfeboro",
            "state": "NH",
            "postal_code": "038944411",
            "country_code": "US",
            "telephone_number": "603-569-7500 x7353",
            "fax_number": "603-515-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAKA",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME133933",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "165030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.