Active NPI
Robert F Adams, MD
- Pediatric Cardiology Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- M12007
- Practice address
- 520 S Eagle Rd
Meridian, ID 83642-6351 - Phone
- (208) 336-9188
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | M12007 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd
Meridian, ID 83642-6351
Mailing address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone (208) 336-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M12007 | ID | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Pediatrics | Current | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
130 E Boise Ave
Boise, ID 83706
Phone (208) 345-4066
305 E Jefferson St
Boise, ID 83712
Phone (208) 345-0715
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1210 NW 16th St
Ste 2204
Fruitland, ID 83619
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
520 S Eagle Rd
Ste 2204
Meridian, ID 83642
Phone (208) 336-9188
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
Interoperability endpoints
- radams18781@direct.slhs.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1093933830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-336-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426351",
"telephone_number": "208-336-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "ID",
"license": "M12007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.