Individual provider Active NPI

Jared M Adams, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1184889446
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28056 Issued in OK
Practice address
12301 S Western Ave Ste A1
Oklahoma City, OK 73170-6085
Phone
(405) 254-7529
Fax
(405) 254-7587
NPI assigned
Jul 25, 2008
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TEP5937 NE
Family Medicine Physician 207Q00000X 28056 OK Primary

Addresses

Primary practice location

12301 S Western Ave Ste A1
Oklahoma City, OK 73170-6085

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other identifiers 1

IdentifierTypeStateIssuer
47055301100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20110908002139 OK Practitioner - Family PracticePractitioner - Emergency Medicine 4688844210 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TEP5937NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Apr 6, 2019 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Apr 6, 2019 Accepting new patients
National Family Medical Associates, LLC Family Medicine CurrentSince Sep 4, 2023 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine Past Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

12301 S Western Ave
Ste A1
Oklahoma City, OK 73170
Phone (405) 254-7529

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jared.adams@chpc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1184889446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 S WESTERN AVE STE A1",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706085",
            "telephone_number": "405-254-7529",
            "fax_number": "405-254-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JARED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "TEP5937",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "28056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.