Individual provider Active NPI

Adam Haynes Carewe, MD

  • Family Medicine Physician
  • Park City, UT
National Provider Identifier
1093979528
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48249 Issued in CO
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

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
021507OtherCOKAISER COMMERCIAL NUMBER
30277078MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
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, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110408000177 CO Practitioner - Family Practice 7315121779 Reassigns benefits to 1 organization
I20241222000076 UT Practitioner - Family Practice 7315121779 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48249COMDFamily Medicine Physician
TL2907COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Medical Practice PC CurrentSince Jul 15, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.