Active NPI
Robert Louis Adams, M.D.
- Plastic Surgery Physician
- Memphis, TN
National Provider Identifier
1164436226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 11508
- Practice address
- 80 Humphreys Ctr Ste 100
Memphis, TN 38120-2352 - Phone
- (901) 761-9030
- Fax
- (901) 473-6505
- NPI assigned
- Jul 27, 2006
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 11508 | TN | Primary |
Addresses
Primary practice location
80 Humphreys Ctr Ste 100
Memphis, TN 38120-2352
Mailing address
80 Humphreys Ctr Ste 100
Memphis, TN 38120-2352
Phone (901) 761-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4018746 | Other | TN | AETNA |
| 0050596 | Other | TN | BLUECROSS BLUESHIELD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000248 | TN | Practitioner - Plastic and Reconstructive Surgery | 5698753010 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1164436226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202352",
"telephone_number": "901-761-9030",
"fax_number": "901-473-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CTR STE 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202352",
"telephone_number": "901-761-9030",
"fax_number": "901-473-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TN",
"license": "11508",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4018746",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD TN",
"identifier": "0050596",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.