Active NPI
Benjamin Edward Adams, D.O.
- Dermatology Physician
- Kirksville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2004016406
- Practice address
- 700 W Jefferson St
Kirksville, MO 63501-1441 - Phone
- (660) 665-2191
- Fax
- (660) 626-2714
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2004016406 | MO | Primary |
Addresses
Primary practice location
700 W Jefferson St
Kirksville, MO 63501-1441
Mailing address
166 W 1325 N
Ste 250
Cedar City, UT 84721-7794
Phone (660) 665-2198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
166 W 1325
Suite 250
Cedar City, UT 84721-7794
Phone (435) 586-6440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 65 |
| Removal of skin lesions | 2857 |
| Removal of skin cancer | 175 |
| Removal or shaving of skin growth | 19 |
| Skin biopsy | 419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004016406 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Dermatology | Dermatology | Current | Accepting new patients |
| Cedar Dermatology PLLC | Dermatology | Current | Accepting new patients |
Locations
166 W 1325 N
Ste 250
Cedar City, UT 84721
Phone (435) 586-6440
126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591
700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
861 N Main St
Richfield, UT 84701
Phone (435) 558-7031
Interoperability endpoints
- badams@cedarderm.emadirect.md
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.
-
- Dermatology Physician
- Cedar City, UT
- NPI 1902041668
-
- Dermatology Physician
- Richfield, UT
- NPI 1245863893
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1376769943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 W 1325 N",
"address_2": "STE 250",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847217794",
"telephone_number": "660-665-2198",
"fax_number": "660-626-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W JEFFERSON ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011441",
"telephone_number": "660-665-2191",
"fax_number": "660-626-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BENJAMIN",
"middle_name": "EDWARD",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2004016406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
- Adair County Nursing Home District (Twin Pines Adult Care Center)
- Adair County SB40 Developmental Disability Board
- Adair County SB40 Developmental Disability Board
- Adair County SB40 Developmental Disability Board
- Adair Emergency Group LLC
- James Hughes Adams, D.O.
- Advance Hannibal Regional Hospital, LLC
- Advance Phycial Therapy & Sports Med (Advances in Therapy)
- Aerocare Home Medical Equipment, Inc. (AeroCare Home Medical Equipment)
- Saaima Afzal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.