Active NPI
Elliot McNamara Adams, M.D.
- Vascular Surgery Physician
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- M-16436
- Practice address
- 775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820 - Phone
- (208) 814-8475
- NPI assigned
- May 8, 2015
- Last updated
- May 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 29421 | WV | |
| Vascular Surgery Physician | 2086S0129X | M-16436 | ID | Primary |
Addresses
Primary practice location
775 Pole Line Rd W Ste 213
Twin Falls, ID 83301-5820
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
3200 MacCorkle Ave SE
CAMC Vascular Center of Excellence
Charleston, WV 25304-1227
Phone (304) 388-8199
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eadams163178@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | eadams163178@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | eadams163178@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Indiana University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2174 Canyon Plaza Dr
Suite 200
Twin Falls, ID 83301-4513
Phone (208) 644-0556
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5819
775 Pole Line Rd W
Twin Falls, ID 83301-5820
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- St Luke's Regional Medical Center
- St Luke's Wood River Medical Center
- North Canyon Medical Center
- St Luke's Jerome
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.09 of 100
- Quality
- 77.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.19
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 95 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-16436 | ID | MD | Vascular Surgery Physician |
| 29421 | WV | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| St Luke's Clinic LLC | Current | Accepting new patients | |
| Vascular Surgery Center of Excellence PLLC | Vascular Surgery | Current | Accepting new patients |
| St Luke's Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
512 Pole Line Rd
Twin Falls, ID 83301
Phone (208) 302-3311
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
775 Pole Line Rd W
Ste 213
Twin Falls, ID 83301
Phone (208) 814-8475
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Twin Falls, ID
- NPI 1174240139
-
- Physician Assistant
- Twin Falls, ID
- NPI 1265167019
Organizations & group practices 5
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.
-
dba St Lukes Clinic - Magic Valley/Jerome
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Vascular Surgery Physician
- Twin Falls, ID
- NPI 1851171409
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
dba St Lukes Retail Pharmacy Twin Falls
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Canyon Medical Center
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
dba St Luke's Jerome
- Critical Access Hospital
- Jerome, ID
- NPI 1366874877
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Wood River Medical Center
- Critical Access Hospital
- Ketchum, ID
- NPI 1508869470
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1033597232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POLE LINE RD W STE 213",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015820",
"telephone_number": "208-814-8475"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_2": "CAMC Vascular Center of Excellence",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-8199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "ELLIOT",
"middle_name": "MCNAMARA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WV",
"license": "29421",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ID",
"license": "M-16436",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eadams163178@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 MacCorkle Ave SE",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041227",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eadams163178@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 MacCorkle Ave SE",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041227",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eadams163178@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3200 MacCorkle Ave SE",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253041227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.