Individual provider Active NPI

Adam J Locketz, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Apple Valley, MN
National Provider Identifier
1457325540
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
44760 Issued in MN
Practice address
7275 147TH St W
Apple Valley, MN 55124-7808
Phone
(651) 333-9133
Fax
(651) 560-7013
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 44760 MN Primary

Addresses

Primary practice location

7275 147TH St W
Apple Valley, MN 55124-7808

Mailing address

7275 147TH St W
Apple Valley, MN 55124-7808
Phone (651) 333-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44760MNMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Spine & Brain Institute, L.L.C. PastSince Feb 1, 2023 Accepting new patients
Affinity Medical Group PA Pain Medicine PastSince May 28, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drlocketz@alm-mn.direct.office.nextgen.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1457325540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 147TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247808",
            "telephone_number": "651-333-9133",
            "fax_number": "651-560-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 147TH ST W",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247808",
            "telephone_number": "651-333-9133",
            "fax_number": "651-560-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETZ",
        "first_name": "ADAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MN",
            "license": "44760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.