Active NPI
Robert Adrian, MD
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 291210
- Practice address
- 55 Fruit St
Boston, MA 02114-2621 - Phone
- (617) 726-2000
- NPI assigned
- Mar 27, 2018
- 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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cicero, IL
- NPI 1184490062
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Chicago, IL
- NPI 1194723999
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Chicago, IL
- NPI 1538655949
Care Compare affiliation Hospital -
- Children's Hospital
- Chicago, IL
- NPI 1619456423
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Chicago, IL
- NPI 1710877386
Care Compare affiliation Hospital -
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1790490563
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Chicago, IL
- NPI 1881363224
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Chicago, IL
- NPI 1912397480
Care Compare affiliation Hospital
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Anthony Emergency Services Physician Group
Practice addresses (Care Compare)
2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-1000
Hospital & facility affiliations
- Saint Anthony Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911003852 | IL | Practitioner - Emergency Medicine | 6608254354 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291210 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts General Physicians Organization Inc | Emergency Medicine | Current |
Accepting new patients |
| The General Hospital Corporation | Current |
Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Emergency Medicine | Current |
Accepting new patients |
| St Anthony Emergency Services Physician Group | Current |
Accepting new patients |
Locations
2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
75 Francis St
Boston, MA 02115
1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 291210 | MA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
55 Fruit St
Boston, MA 02114-2621
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2022.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1184129595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-2000"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADRIAN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "291210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.