Individual provider Active NPI

Melissa Lynn Adams, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Ada, OK
National Provider Identifier
1285801282
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
278 Issued in OK
Practice address
905 Colony Dr
Ada, OK 74820-2329
Phone
(580) 436-5111
NPI assigned
May 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 278 OK Primary

Addresses

Primary practice location

905 Colony Dr
Ada, OK 74820-2329

Mailing address

527 W 3Rd St
Konawa, OK 74849-1415
Phone (580) 436-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208002018 OK Practitioner - Podiatry 0345395877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Oklahoma Family Medical Center IncGroup PAC ID 9931189685, 57 clinicians

Practice addresses (Care Compare)

1221 Arlington St
Suite B
Ada, OK 74820-4067
Phone 5809253286227

301 N Monte Vista St
Ada, OK 74820-4607
Phone (580) 436-5111

304 N Monte Vista St
Ada, OK 74820-7484
Phone (580) 436-5111

527 W 3Rd St
Konawa, OK 74849-1415
Phone 5809253286227

807 N Monte Vista St
Ada, OK 74820-7711
Phone (580) 332-8855

905 Colony Dr
Ada, OK 74820-2329
Phone (580) 436-5111

Hospital & facility affiliations

  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
278OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oklahoma Family Medical Center, Inc. Current Accepting new patients
Central Oklahoma Family Medical Center, Inc CurrentSince May 1, 2021 Accepting new patients
Central Oklahoma Family Medical Center Inc CurrentSince May 1, 2021 Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients

Locations

905 Colony Dr
#A
Ada, OK 74820

905 Colony Dr
Ada, OK 74820
Phone (580) 434-5111

1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700

807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413

527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286

Interoperability endpoints

  • Direct secure messaging: melissa.adams@cof.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

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.

Hospital & facility affiliations 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1285801282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W 3RD ST",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "748491415",
            "telephone_number": "580-436-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-436-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.