Individual provider Active NPI

Adam J Putnam, M.D.

  • Emergency Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1194899286
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD2007-0511 Issued in NM
Practice address
455 Saint Michaels Dr
CSV Emergency DPT
Santa Fe, NM 87505-7601
Phone
(505) 983-3361
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD2007-0511 NM Primary

Addresses

Primary practice location

455 Saint Michaels Dr
CSV Emergency DPT
Santa Fe, NM 87505-7601

Mailing address

PO Box 2611
Santa Fe, NM 87504-2611
Phone (412) 977-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20110606000069 VT Practitioner - Emergency Medicine 4284711854 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2007-0511NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brattleboro Memorial Hospital CurrentSince Apr 19, 2011 Accepting new patients
Copley Hospital, Inc CurrentSince Jun 1, 2011 Accepting new patients
Copley Hospital, Inc. CurrentSince Jun 1, 2011 Accepting new patients
Copley Hospital Inc Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Copley Hospital, Inc. Current Accepting new patients
Healthfront PC Emergency Medicine Past Accepting new patients
Mesa Emergency Group LLC Emergency Medicine Past Accepting new patients

Locations

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

528 Washington Hwy
Morrisville, VT 05661
Phone (802) 888-4231

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 9

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1194899286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2611",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042611",
            "telephone_number": "412-977-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "CSV EMERGENCY DPT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-983-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2007-0511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.