Active NPI
John A Adiet, MD
- Family Medicine Physician
- Conroe, TX
National Provider Identifier
1245429158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N4882
- Practice address
- 100 Medical Center Blvd
Ste 104
Conroe, TX 77304-2821 - Phone
- (936) 756-2888
- Fax
- (936) 756-2892
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2302-850 | WI | |
| Family Medicine Physician | 207Q00000X | N4882 | TX | Primary |
Addresses
Primary practice location
100 Medical Center Blvd
Ste 104
Conroe, TX 77304-2821
Mailing address
100 Medical Center Blvd
Ste 104
Conroe, TX 77304-2821
Phone (936) 756-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20100602000882 | TX | Practitioner - Family Practice | 5395823645 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston Carenow Urgent Care PLLC
Practice addresses (Care Compare)
100 Medical Ctr Blvd
Suite 104
Conroe, TX 77304-2821
Phone (936) 756-2888
10422 Research Forest Dr
Magnolia, TX 77354-6155
Phone (832) 702-7699
Hospital & facility affiliations
- Reliant Healthcare Services
- Daniella Home Health Services Inc
- LG Charity Home Health Care Services Inc
- Mga Home Health Plus Services Inc
- HCA Houston Healthcare Conroe
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2302-850 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Houston Family Medicine PLLC | Family Medicine | Current | Accepting new patients |
| Greater Houston Family Medicine, PLLC | Family Medicine | Current | Accepting new patients |
| East Texas Border Health Clinic | Family Medicine | Past | Accepting new patients |
Locations
100 Medical Center Blvd
Ste 104
Conroe, TX 77304
Phone (936) 756-2888
Interoperability endpoints
- john.adiet@ghfm.eclinicaldirectplus.com
- jadiet149426@christushealth.direct-ci.net
- https://fhir4.healow.com/fhir/r4/CHBHBD/Endpoint/CHBHBD
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.
-
- Family Medicine Physician
- Conroe, TX
- NPI 1659885069
Family Medicine, TX
-
- Family Medicine Physician
- Conroe, TX
- NPI 1073029435
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Texarkana, TX
- NPI 1598366718
Family Medicine
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dallas, TX
- NPI 1275865727
-
- Home Health Agency
- Mansfield, TX
- NPI 1336213537
-
- Home Health Agency
- Cedar Hill, TX
- NPI 1851477145
-
- Home Health Agency
- Richardson, TX
- NPI 1104030733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1245429158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD",
"address_2": "STE 104",
"city": "CONROE",
"state": "TX",
"postal_code": "773042821",
"telephone_number": "936-756-2888",
"fax_number": "936-756-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD",
"address_2": "STE 104",
"city": "CONROE",
"state": "TX",
"postal_code": "773042821",
"telephone_number": "936-756-2888",
"fax_number": "936-756-2892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIET",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "2302-850",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N4882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.