Individual provider Active NPI

Serrhel G Adams Jr., MD

  • Retina Specialist (Ophthalmology) Physician
  • Springdale, AR
National Provider Identifier
1366474538
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
E5538 Issued in AR
Practice address
5501 Willow Creek Dr Ste 203B
Springdale, AR 72762-8708
Phone
(479) 419-9393
Fax
(479) 419-9513
NPI assigned
Jul 7, 2006
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X E5538 AR Primary

Addresses

Primary practice location

5501 Willow Creek Dr Ste 203B
Springdale, AR 72762-8708

Mailing address

5501 Willow Creek Dr Ste 203B
Springdale, AR 72762-8708
Phone (479) 419-9393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sadams@nwaretina.intellechartdirect.net Direct Northwest Arkansas Retina Associates, P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080820000641 AR Practitioner - Ophthalmology 0244235232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Partners of Northwest Arkansas, PLLCGroup PAC ID 8820490063, 3 clinicians

Practice addresses (Care Compare)

601 W Maple Ave
Suite 205a
Springdale, AR 72764-5336
Phone (479) 326-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5538ARMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Partners of Northwest Arkansas PLLC Retina Specialist CurrentSince Jul 2, 2021 Accepting new patients

Locations

5501 Willow Creek Dr
Ste 203B
Springdale, AR 72762
Phone (479) 419-9393

601 W Maple Ave
Ste 205A
Springdale, AR 72764
Phone (479) 326-9400

Interoperability endpoints

  • Direct secure messaging: sadams@nwaretina.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1366474538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "479-419-9393",
            "fax_number": "479-419-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "479-419-9393",
            "fax_number": "479-419-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SERRHEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AR",
            "license": "E5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sadams@nwaretina.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Northwest Arkansas Retina Associates, P.A.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5501 Willow Creek Dr Ste 203B",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727628708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.