Active NPI
Adam Haynes Carewe, MD
- Family Medicine Physician
- Park City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48249
- Practice address
- 1743 S Sidewinder Drive Unit 114
Park City, UT 84060 - Phone
- (307) 840-9834
- NPI assigned
- Jul 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL2907 | CO | |
| Family Medicine Physician | 207Q00000X | 48249 | CO | Primary |
Addresses
Primary practice location
1743 S Sidewinder Drive Unit 114
Park City, UT 84060
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other practice location 1
10240 Park Meadows Dr
Lone Tree, CO 80124-5425
Phone (303) 338-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021507 | Other | CO | KAISER COMMERCIAL NUMBER |
| 30277078 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48249 | CO | MD | Family Medicine Physician |
| TL2907 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Medical Practice PC | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
710 Lakeway Dr
Ste 200
Sunnyvale, CA 94085
Phone (408) 372-6205
4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834
1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833
1003 Bishop St
Ste 1600
Honolulu, HI 96813
Phone (808) 398-5587
75-5915 Walua Rd
Kailua Kona, HI 96740
Phone (808) 796-5624
801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833
475 Hillside Ave
Ste 4
Needham Hgts, MA 02494
3410 Belle Chase Way
Ste 600
Lansing, MI 48911
Phone (517) 999-9020
100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685
10 W 37th St
Fl 5
New York, NY 10018
Phone (929) 296-1624
1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
1743 Sidewinder Dr
Unit 114
Park City, UT 84060
Phone (307) 840-9834
808 Greenbrier St
Charleston, WV 25311
1821 Logan Ave
Cheyenne, WY 82001
Interoperability endpoints
- adam.carewe.1@30093.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1093979528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1743 S SIDEWINDER DRIVE UNIT 114",
"city": "PARK CITY",
"state": "UT",
"postal_code": "84060",
"telephone_number": "307-840-9834"
}
],
"practiceLocations": [
{
"address_1": "10240 Park Meadows Dr",
"address_purpose": "LOCATION",
"city": "Lone Tree",
"state": "CO",
"postal_code": "801245425",
"country_code": "US",
"telephone_number": "303-338-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAREWE",
"first_name": "ADAM",
"middle_name": "HAYNES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2025-02-26",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL2907",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "48249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "021507",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30277078",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "CAREQUALITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10240 Park Meadows Dr",
"city": "Lone Tree",
"state": "CO",
"country_code": "US",
"postal_code": "801245425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.