Individual provider Active NPI

Matthew Kenneth Adams, MD

  • Retina Specialist (Ophthalmology) Physician
  • Plano, TX
National Provider Identifier
1124361076
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
U1846 Issued in TX
Practice address
6843 Communications Pkwy Ste 810
Plano, TX 75024-6150
Phone
(972) 440-2020
Fax
(469) 409-0595
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X U1846 TX Primary

Addresses

Primary practice location

6843 Communications Pkwy Ste 810
Plano, TX 75024-6150

Mailing address

6843 Communications Pkwy Ste 810
Plano, TX 75024-6150
Phone (972) 440-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230816000078 TX Practitioner - Ophthalmology 3072883644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6843 Communications Pkwy
Suite 810
Plano, TX 75024-6150
Phone (972) 440-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Macula & Retina, PLLC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

6843 Communications Pkwy
Ste 810
Plano, TX 75024
Phone (972) 440-2020

Interoperability endpoints

  • Direct secure messaging: amatthew@tmar.intellechartdirect.net

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1124361076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 COMMUNICATIONS PKWY STE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246150",
            "telephone_number": "972-440-2020",
            "fax_number": "469-409-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 COMMUNICATIONS PKWY STE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246150",
            "telephone_number": "972-440-2020",
            "fax_number": "469-409-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MATTHEW",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "U1846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.