Individual provider Active NPI

Adam Fields McConnell, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1376962852
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38648 Issued in OK
Practice address
608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015
Phone
(405) 231-3000
Fax
(405) 231-3073
NPI assigned
Apr 10, 2014
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
Family Medicine Physician 207Q00000X MD60773372 WA
Family Medicine Physician 207Q00000X 38648 OK Primary

Addresses

Primary practice location

608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015

Mailing address

608 NW 9TH St Ste 1100
Oklahoma City, OK 73102-1015
Phone (405) 231-3000

Other practice location 1

6201 N Santa Fe Ave Ste 2010
Oklahoma City, OK 73118-7532
Phone (405) 272-5555

Other practice location 2

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1911

Other identifiers 1

IdentifierTypeStateIssuer
2036570MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220127001978 OK Practitioner - Family Practice 9638442973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

608 NW 9TH St
Suite 1100
Oklahoma City, OK 73102-1068
Phone (405) 231-3000

Hospital & facility affiliations

  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health at Home Hospice - Oklahoma Hospice, Oklahoma City, OK, CCN 371731
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

1110 N Lee Ave
Ste 300
Oklahoma City, OK 73103
Phone (405) 231-3000

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

Interoperability endpoints

  • Direct secure messaging: amcconnell410174@direct-ehr-ssmhc.com
  • Direct secure messaging: jean.clark@securechartupload.net
  • Direct secure messaging: amcconnell607101@direct.ochin.org
  • Direct secure messaging: mcconna@cmccares.cernerdirect.com

Organizations & group practices 5

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376962852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021015",
            "telephone_number": "405-231-3000",
            "fax_number": "405-231-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST STE 1100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021015",
            "telephone_number": "405-231-3000",
            "fax_number": "405-231-3073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 N Santa Fe Ave Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731187532",
            "country_code": "US",
            "telephone_number": "405-272-5555",
            "fax_number": "405-272-5517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Fortuyn Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Coulee",
            "state": "WA",
            "postal_code": "991338718",
            "country_code": "US",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ADAM",
        "middle_name": "FIELDS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60773372",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "38648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036570",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.