NPIMap

Individual provider Active NPI

Jason David Adam, M.D.

  • Gastroenterology Physician
  • North Chesterfield, VA
National Provider Identifier
1275894792
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101263717 Issued in VA
Practice address
223 Wadsworth Dr
North Chesterfield, VA 23236
Phone
(804) 330-4021
Fax
(804) 330-4134
NPI assigned
May 31, 2012
Last updated
Jun 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101263717 VA Primary

Addresses

Primary practice location

223 Wadsworth Dr
North Chesterfield, VA 23236

Mailing address

2012 N Inglewood St
Arlington, VA 22205-3149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711003880 VA Practitioner - Gastroenterology 9234379082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Gastroenterology Associates, Inc.Group PAC ID 8426950692, 39 clinicians

Practice addresses (Care Compare)

223 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone (804) 330-4021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Upper gastrointestinal (GI) endoscopy for acid reflux154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Gastroenterology Associates, Inc. Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Gastrointestinal Specialists LLC Gastroenterology Past Accepting new patients
Infusion Solutions LLC Past Accepting new patients

Locations

107 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 330-4901

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

169 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 330-4201

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

223 Wadsworth Dr
North Chesterfield, VA 23236

261 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 895-7374

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

1600 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 330-7840

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

8700 Stony Point Pkwy
Ste 100
Richmond, VA 23235
Phone (804) 775-4500

Organizations & group practices 3

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1275894792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 N INGLEWOOD ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23236",
            "telephone_number": "804-330-4021",
            "fax_number": "804-330-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101263717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.