Nolan Jesse Adams

Individual provider Active NPI Ophthalmology Physician · Maywood, IL

NPI 1124581780 · NPPES record last updated Sep 26, 2024

Key facts

NPI
1124581780
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
MD2023-0405 (NM)
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(888) 584-7888
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Eyecare Specialists P C (7 clinicians)

Practice addresses (Care Compare)

7110 Wyoming Blvd NE
Albuquerque, NM 87109-4867
Phone (505) 346-0500

Hospital & facility affiliations

  • Unm Hospital Hospital · Albuquerque, NM · CCN 320001

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100 (group)
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100 (group)
Quality
94.8
Improvement activities
40
Cost
77.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery146

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230531000579 NM Practitioner - Ophthalmology 4082949904 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.074274ILMDOphthalmology Physician
MD2023-0282NMMDOphthalmology Physician
MD2023-0405NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. Current
since Jun 7, 2023
Accepting new patients
Loyola University Medical Center Current Accepting new patients
Southwest Eyecare Specialists P C Ophthalmology Current
since Jul 1, 2023
Accepting new patients
Unm Medical Group Inc Current
since Jun 7, 2023
Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

7110 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 241-5461

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: nadams@southwesteyecare.intellechartdirect.net
  • Direct secure messaging: nadams82330@direct.luhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD2023-0282 NM
Ophthalmology Physician 207W00000X 125.074274 IL
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD2023-0405 NM Yes

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328

Other practice location 1

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 990-5261

Other providers in Maywood, IL

All providers in Maywood, IL · Ophthalmology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.