Individual provider Active NPI

Adam D Wells, M.D.

  • Pulmonary Disease Physician
  • Omaha, NE
National Provider Identifier
1376863886
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26745 Issued in NE
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

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1376863886MedicaidIA
10026480109MedicaidNE
10026209700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000724 NE Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9638312234 Reassigns benefits to 2 organizations
I20171006001410 IA Practitioner - Pulmonary Disease 9638312234 Reassigns benefits to 2 organizations

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
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

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

LicenseStateTypeSpecialty
6247NEMDInternal Medicine Physician
26745NEMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Internal Medicine CurrentSince Sep 2, 2017 Accepting new patients
Unmc Physicians CurrentSince Jul 1, 2013 Accepting new patients
Physicians Clinic Inc Internal Medicine CurrentSince Jan 28, 2019 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.