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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (1,606 clinicians)

Practice addresses (Care Compare)

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital · Hershey, PA · CCN 390256

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20220623000193 PA Practitioner - Anesthesiology 8729489240 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group Anesthesiology Current
since Jul 1, 2022
Accepting new patients
The Milton S Hershey Medical Center Physician Group Current
since Jul 1, 2022
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2022.

{
    "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

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Sources for this page

Verify at the official NPI Registry.