NPIMap

Individual provider Active NPI

Paul Doey McAdams, M. D.

  • Urology Physician
  • Santa Rosa, CA
National Provider Identifier
1083690259
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G128434 Issued in CA
Practice address
1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone
(707) 525-4051
Fax
(707) 525-1033
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101052018 VA
Pediatric Urology Physician 2088P0231X PT 12603 ND
Urology Physician 208800000X G128434 CA Primary

Addresses

Primary practice location

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658

Mailing address

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone (707) 525-4051

Other identifiers 1

IdentifierTypeStateIssuer
17622MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150624002341 CA Practitioner - Urology 4385897636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Pittsburgh School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

121 Sotoyome St
Suite 203
Santa Rosa, CA 95405-4822
Phone (707) 546-3141

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G128434CAMDUrology Physician
0101052018VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Apr 16, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Sep 14, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Sep 14, 2015 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Providence Medical Foundation Current Accepting new patients
Northbay Healthcare Group CurrentSince Apr 16, 2023 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
SCL Health Montana Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1701 4th St
Ste 200
Santa Rosa, CA 95404
Phone (707) 525-0100

510 Doyle Park Dr
Santa Rosa, CA 95405
Phone (707) 303-8360

121 Sotoyome St
Ste 203
Santa Rosa, CA 95405
Phone (707) 525-4080

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • Direct secure messaging: pmcadams1658037@oc.providencedirect.org

Organizations & group practices 9

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 6

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1083690259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "PAUL",
        "middle_name": "DOEY",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101052018",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "ND",
            "license": "PT 12603",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G128434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17622",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.