Individual provider Active NPI

Adam J Ball, M.D.

  • Urology Physician
  • Port St Lucie, FL
National Provider Identifier
1366438517
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME88543 Issued in FL
Practice address
579 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1622
Phone
(772) 465-2020
Fax
(772) 465-2111
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME88543 FL
Urology Physician 208800000X ME88543 FL Primary

Addresses

Primary practice location

579 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1622

Mailing address

579 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1622
Phone (772) 465-2020

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050805000602 FL Practitioner - UrologyPractitioner - Hospitalist 6002891918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: Hospitalist
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

579 NW Lake Whitney PL
Suite 105
Port Saint Lucie, FL 34986-1622
Phone (772) 465-2020

Hospital & facility affiliations

  • Activa Home Health Home health agency, Stuart, FL, CCN 108113
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88543FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfstream Urology Associates PA Urology CurrentSince Aug 1, 2005 Accepting new patients
Urology of Virginia, PC Urology Past Accepting new patients
Urology of Virginia PC Past Accepting new patients

Locations

579 NW Lake Whitney Pl
Ste 105
Port St Lucie, FL 34986
Phone (772) 465-2020

Interoperability endpoints

  • Direct secure messaging: aball@drsgua.drsdocdirect.com

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 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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366438517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-465-2020",
            "fax_number": "772-465-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-465-2020",
            "fax_number": "772-465-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME88543",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME88543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.