Active NPI
Richard B. McAdam, M.D.
- Specialist
- Hampton, VA
National Provider Identifier
1437141801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101025890
- Practice address
- 2102 Executive Dr
Hampton, VA 23666-2402 - Phone
- (757) 838-1844
- Fax
- (757) 838-4419
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101025890 | VA | Primary |
Addresses
Primary practice location
2102 Executive Dr
Hampton, VA 23666-2402
Mailing address
2102 Executive Drive
Peninsula Neurosurgical Associates
Hampton, VA 23666-2402
Phone (757) 838-1844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6156941 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120814000010 | VA | Practitioner - Neurosurgery | 5294981817 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101025890 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oceanfront Pain Management and Sports Medicine PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/26220/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Sports Medicine (Family Medicine) Physician
- Virginia Beach, VA
- NPI 1780338947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1437141801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 EXECUTIVE DRIVE",
"address_2": "PENINSULA NEUROSURGICAL ASSOCIATES",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662402",
"telephone_number": "757-838-1844",
"fax_number": "757-838-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 EXECUTIVE DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662402",
"telephone_number": "757-838-1844",
"fax_number": "757-838-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADAM",
"first_name": "RICHARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101025890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6156941",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.