Individual provider Active NPI

Adam Robert Putnam, DO

  • Family Medicine Physician
  • Hamilton, MT
National Provider Identifier
1275109498
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-144233 Issued in MT
Practice address
1200 Westwood Dr Ste I
Hamilton, MT 59840-2345
Phone
(406) 363-1100
Fax
(406) 375-4884
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-144233 MT Primary

Addresses

Primary practice location

1200 Westwood Dr Ste I
Hamilton, MT 59840-2345

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345

Other identifiers 2

IdentifierTypeStateIssuer
1275109498MedicaidID
200026317MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20241001003362 MT Practitioner - Family Practice 6507269826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

Hospital & facility affiliations

  • Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • Community Medical Center Hospital, Missoula, MT, CCN 270023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-144233MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Sep 1, 2024 Accepting new patients

Locations

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

Organizations & group practices 2

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1275109498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR STE I",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-1100",
            "fax_number": "406-375-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-144233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275109498",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026317",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.