Active NPI
Adam D Wells, M.D.
- Pulmonary Disease Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26745
- Practice address
- 1120 N 103Rd PLZ Ste 102
Omaha, NE 68114-1119 - Phone
- (402) 354-0220
- Fax
- (402) 354-0225
- NPI assigned
- Jun 7, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6247 | NE | |
| Pulmonary Disease Physician | 207RP1001X | 26745 | NE | Primary |
Addresses
Primary practice location
1120 N 103Rd PLZ Ste 102
Omaha, NE 68114-1119
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376863886 | Medicaid | IA | |
| 10026480109 | Medicaid | NE | |
| 10026209700 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Edmundson PL
306 Methodist Physicians Clinic Heart Care
Council Bluffs, IA 51503-4620
Phone (712) 396-7787
1120 N 103Rd PLZ
102 Methodist Physicians Clinic Pulmonary M
Omaha, NE 68114-1119
Phone (402) 354-0220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6247 | NE | MD | Internal Medicine Physician |
| 26745 | NE | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Internal Medicine | Current | Accepting new patients |
| Unmc Physicians | Current | Accepting new patients | |
| Physicians Clinic Inc | Internal Medicine | Current | Accepting new patients |
Locations
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
1 Edmundson Pl
Ste 306
Council Bluffs, IA 51503
Phone (712) 396-7787
2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
1120 N 103rd Plz
Ste 102
Omaha, NE 68114
Phone (402) 354-0120
825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370
7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880
10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1033698543
-
- Rural Acute Care Hospital
- Fremont, NE
- NPI 1376498543
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1376863886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 N 103RD PLZ STE 102",
"city": "OMAHA",
"state": "NE",
"postal_code": "681141119",
"telephone_number": "402-354-0220",
"fax_number": "402-354-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "ADAM",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-07",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "6247",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NE",
"license": "26745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376863886",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026480109",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026209700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.