NPIMap

Individual provider Active NPI

Mark Adams, M.D

  • Clinical Genetics (M.D.) Physician
  • Saginaw, MI
National Provider Identifier
1427090448
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
4301059376 Issued in MI
Practice address
5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-9515
Phone
(989) 753-4000
Fax
(989) 754-4000
NPI assigned
Jun 12, 2006
Last updated
Jul 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 4301059376 MI Primary

Addresses

Primary practice location

5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-9515

Mailing address

5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-9515
Phone (989) 753-4000

Other identifiers 1

IdentifierTypeStateIssuer
4647680MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000040 MI Practitioner - Neurosurgery 7214906486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Spine and Brain Institute, PCGroup PAC ID 4385772417, 3 clinicians

Practice addresses (Care Compare)

175 E Warwick Dr
Alma, MI 48801-1025
Phone (989) 753-4000

4005 Orchard Dr
Midland, MI 48670-0001
Phone 98975340001116

4851 E Pickard St
Suite 2300
Mount Pleasant, MI 48858-2039
Phone 98975340001116

5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-8211
Phone (989) 753-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion258
Laminectomy or laminotomy (partial removal of spine bones)104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21345OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Spine and Brain Institute PC Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
Michigan Spine and Brain Institute Past Accepting new patients
Saginaw Valley Neurosurgery, P.L.L.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: madams1347@direct.covenanthealthcare.com
  • Direct secure messaging: madams9642@mymichiganhealth.midirect.net

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

Hospital & facility affiliations 8

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1427090448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "SUITE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-753-4000",
            "fax_number": "989-754-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "SUITE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-753-4000",
            "fax_number": "989-754-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARK",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MI",
            "license": "4301059376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4647680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.