NPIMap

Individual provider Active NPI

William D Adams, DO

  • Family Medicine Physician
  • Rigby, ID
National Provider Identifier
1467403733
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0252 Issued in ID
Practice address
711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192
Phone
(208) 745-5021
Fax
(208) 745-5026
NPI assigned
May 12, 2006
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0252 ID Primary

Addresses

Primary practice location

711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192

Mailing address

711 Rigby Lake Dr
Suite 115
Rigby, ID 83442-5192
Phone (208) 745-5021

Other identifiers 1

IdentifierTypeStateIssuer
806044700MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20040506001660 ID Practitioner - Family Practice 6507855418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0252IDMDFamily Medicine Physician
03241IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Family Medicine PLLC Family Medicine CurrentSince Jun 8, 2004 Accepting new patients
Mountain View Hospital LLC CurrentSince Apr 7, 2025 Accepting new patients
Community Care, PLLC Family Medicine PastSince Jul 2, 2004 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Madison County Memorial Hospital Past Accepting new patients

Locations

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

72 E Main St
Rexburg, ID 83440
Phone (208) 359-1770

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

530 Rigby Lake Dr
Rigby, ID 83442
Phone (208) 745-5021

711 Rigby Lake Dr
Ste 115
Rigby, ID 83442
Phone (208) 745-5021

711 Rigby Lake Dr
Ste 1500
Rigby, ID 83442
Phone (208) 745-5021

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFDAA
  • Direct secure messaging: william.adams@uvfm.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1467403733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR",
            "address_2": "SUITE 115",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425192",
            "telephone_number": "208-745-5021",
            "fax_number": "208-745-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR",
            "address_2": "SUITE 115",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425192",
            "telephone_number": "208-745-5021",
            "fax_number": "208-745-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "0252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806044700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

Verify at the official NPI Registry.