Adam Adenwala
Individual provider Active NPI Anesthesiology Physician · Philadelphia, PA
NPI 1073045563 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1073045563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD477056 (PA)
- Practice address
- 718 S 20TH St
Philadelphia, PA 19146-1303 - Phone
- (972) 689-4278
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Perelman School of Med at the University of Pennsylvania, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Milton S Hershey Medical Center Physicians Group
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638
Hospital & facility affiliations
- Milton S Hershey Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220623000193 | PA | Practitioner - Anesthesiology | 8729489240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Anesthesiology | Current |
Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current |
Accepting new patients |
Locations
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | MD477056 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | MD477056 | PA | Yes |
Addresses
Primary practice location
718 S 20TH St
Philadelphia, PA 19146-1303
Mailing address
718 S 20TH St
Philadelphia, PA 19146
Phone (972) 689-4278
NPI Registry JSON
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1073045563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 S 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19146",
"telephone_number": "972-689-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 S 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461303",
"telephone_number": "972-689-4278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENWALA",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "PA",
"license": "MD477056",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD477056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Christianah Tolulope Ademuwagun
- Lule Aden
- Adebayo Adeniran
- Victoria M. Adeniran
- Susan C. Adeniyi-Jones
- Leslie Adeoye
- Janae D McMillan Aderson
- Anne M Ades
- Andrea Adeshigbin
- Glenn Adesoji
All providers in Philadelphia, PA · Anesthesiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.