Individual provider Active NPI

Peter J Adamson, M.D.

  • Orthopaedic Surgery Physician
  • Leawood, KS
National Provider Identifier
1043669336
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-44377 Issued in KS
Practice address
3651 College Blvd Ste 100a
Leawood, KS 66211-1910
Phone
(913) 319-7500
Fax
(913) 319-7661
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10056534 TX
Orthopaedic Surgery Physician 207X00000X 04-44377 KS Primary

Addresses

Primary practice location

3651 College Blvd Ste 100a
Leawood, KS 66211-1910

Mailing address

3651 College Blvd Ste 100a
Leawood, KS 66211-1910
Phone (913) 319-7500

Other practice location 1

301 University Blvd
Route 0165
Galveston, TX 77555-0165
Phone (409) 747-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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
I20220912002486 NE Practitioner - Orthopedic Surgery 7012310899 Reassigns benefits to 6 organizations
I20240909001963 IA Practitioner - Orthopedic Surgery 7012310899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nebraska College of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

7710 Mercy Rd
Suite 2000
Omaha, NE 68124-2323
Phone (402) 717-0820

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (712) 328-5490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-44377KSMDOrthopaedic Surgery Physician
BP10056534TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Health Memorial Hospital Schuyler CurrentSince Dec 13, 2022 Accepting new patients
Alegent Creighton Clinic CurrentSince Sep 7, 2022 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince May 28, 2023 Accepting new patients
St. Mary'S Community Hospital CurrentSince Sep 20, 2022 Accepting new patients
Alegent Health Memorial Hospital, Schuyler Current Accepting new patients
Alegent Health Memorial Hospital, Schuyler CurrentSince Dec 13, 2022 Accepting new patients
St. Mary'S Community Hospital CurrentSince Sep 20, 2022 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 28, 2024 Accepting new patients
Orthopaedic & Sports Medicine Clinic of Kansas City, LLC PastSince Aug 15, 2021 Accepting new patients
The Physician Network PastSince Sep 1, 2011 Accepting new patients

Locations

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

2771 Solution Ctr
Chicago, IL 60677

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7710 Mercy Rd
Ste 2000
Omaha, NE 68124
Phone (402) 717-0820

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

1721 Colfax St
Schuyler, NE 68661
Phone (402) 352-3745

104 W 17th St
Schuyler, NE 68661
Phone (402) 352-2441

Networks

  • IA HMO C-SNP
  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • IA HMO
  • CO HMO C-SNP

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1043669336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 100A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7500",
            "fax_number": "913-319-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 100A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7500",
            "fax_number": "913-319-7661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_2": "Route 0165",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550165",
            "country_code": "US",
            "telephone_number": "409-747-5700",
            "fax_number": "409-747-5715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-08-10",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10056534",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-44377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.