NPIMap

Individual provider Active NPI

Michael Adams

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1053948133
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0072756 Issued in CO
Practice address
603 28 1/4 Road
Grand Junction, CO 81506-4604
Phone
(970) 263-2600
Fax
(970) 263-2692
NPI assigned
Mar 26, 2020
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X DR.0072756 CO
Family Medicine Physician 207Q00000X DR.0072756 CO Primary

Addresses

Primary practice location

603 28 1/4 Road
Grand Junction, CO 81506-4604

Mailing address

2020 59TH St W
Bradenton, FL 34209-4604

Other practice location 1

2020 59th St W
Bradenton, FL 34209-4604
Phone (941) 798-6513

Other practice location 2

2478 Patterson Road Suite 27
Grand Junction, CO 81505-4604
Phone (970) 644-4300

Other practice location 3

1060 Orchard Avenue Suite N
Grand Junction, CO 81501-4604
Phone (970) 644-3740

Other practice location 4

1060 Orchard Avenue Suite O
Grand Junction, CO 81501-4604
Phone (970) 644-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240521003810 CO Practitioner - Family Practice 2567871858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

603 28
Grand JCT, CO 81506-6019

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Internal Medicine Current Accepting new patients
Community Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients
Community Medical Group, LLC Family Medicine Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

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.

Hospital & facility affiliations 11

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1053948133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 28 1/4 ROAD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815064604",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 59th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342094604",
            "country_code": "US",
            "telephone_number": "941-798-6513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2478 Patterson Road Suite 27",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815054604",
            "country_code": "US",
            "telephone_number": "970-644-4300",
            "fax_number": "970-263-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Avenue Suite N",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815014604",
            "country_code": "US",
            "telephone_number": "970-644-3740",
            "fax_number": "970-644-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Orchard Avenue Suite O",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815014604",
            "country_code": "US",
            "telephone_number": "970-644-3755",
            "fax_number": "970-644-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0072756",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.