Individual provider Active NPI

Adam Lee Prickett, MD

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1114224987
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036.138056 Issued in IL
Practice address
1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906
Phone
(847) 392-9220
Fax
(847) 392-9252
NPI assigned
Feb 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2014010406 MO
Ophthalmology Physician 207W00000X 036.138056 IL Primary

Addresses

Primary practice location

1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906

Mailing address

1588 N Arlington Heights Road
Arlington Heights, IL 60004
Phone (847) 392-9220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150605002017 IL Practitioner - Ophthalmology 5294959805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Stanford University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye Physicians, LTDGroup PAC ID 9335229335, 7 clinicians

Practice addresses (Care Compare)

1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906
Phone (847) 392-9220

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as group
Quality
100
Improvement activities
40
Cost
87.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.138056ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Physicians, LTD Ophthalmology CurrentSince Jul 15, 2015 Accepting new patients
Northwest Eye Physicians Surgery Suite LLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

1588 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 392-9220

1588 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 392-8997

Organizations & group practices 2

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1114224987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 N ARLINGTON HEIGHTS ROAD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-392-9220",
            "fax_number": "847-392-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043906",
            "telephone_number": "847-392-9220",
            "fax_number": "847-392-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICKETT",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2014010406",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.138056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.