Individual provider Active NPI

Adam Ovadia, M.D.

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1255786760
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
PENDING Issued in CO
Practice address
1355 S Colorado Blvd
Ste 100
Denver, CO 80222-3358
Phone
(720) 772-7394
Fax
(860) 370-4890
NPI assigned
May 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X PENDING CO Primary

Addresses

Primary practice location

1355 S Colorado Blvd
Ste 100
Denver, CO 80222-3358

Mailing address

77 S Adams St
Apt 1505
Denver, CO 80209
Phone (914) 512-7606

Other practice location 1

100 Woods Rd
Valhalla, NY 10595-1530
Phone (914) 493-1939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Ovadia MD PLLC Single Specialty CurrentSince Jul 17, 2022 Accepting new patients

Locations

1355 S Colorado Blvd
Ste 100
Denver, CO 80222
Phone (303) 756-9052

Organizations & group practices 1

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1255786760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S ADAMS ST",
            "address_2": "APT 1505",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "914-512-7606",
            "fax_number": "860-370-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD",
            "address_2": "STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223358",
            "telephone_number": "720-772-7394",
            "fax_number": "860-370-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Woods Rd",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "914-493-1939",
            "fax_number": "914-493-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVADIA",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.