Individual provider Active NPI

Adam Michael O'Toole, M.D.

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1467795575
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A170617 Issued in CA
Practice address
542 S Fair Oaks Ave FL 1
Pasadena, CA 91105-2606
Phone
(626) 449-8910
Fax
(626) 449-2155
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MED-PHYS-LIC-117418 MT
Surgery Physician 208600000X 51129 KY
Surgery Physician 208600000X A170617 CA
Plastic Surgery Physician 208200000X A170617 CA Primary

Addresses

Primary practice location

542 S Fair Oaks Ave FL 1
Pasadena, CA 91105-2606

Mailing address

542 S Fair Oaks Ave FL 1
Pasadena, CA 91105-2606
Phone (626) 449-8910

Other practice location 1

60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663
Phone (406) 756-2241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211006002885 CA Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 4587961230 Reassigns benefits to 1 organization
I20230127002334 MT Practitioner - Plastic and Reconstructive Surgery 4587961230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Plastic and Reconstructive Surgery
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

542 S Fair Oaks Ave
FL 1
Pasadena, CA 91105-2606
Phone (626) 449-8910

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-117418MTMDPlastic Surgery Physician
A170617CAMDSurgery Physician
51129KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 9, 2022 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Otoole Surgical Group Plastic Surgery CurrentSince Oct 30, 2020 Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 9, 2022 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Adam M. O'Toole, MD Current Accepting new patients

Locations

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

542 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 449-8910

542 S Fair Oaks Ave
Fl 1
Pasadena, CA 91105
Phone (626) 449-8910

542 S Fair Oaks Ave
Fl 2
Pasadena, CA 91105
Phone (626) 449-8910

60 Four Mile Dr
Ste 10
Kalispell, MT 59901
Phone (406) 756-1142

1333 Surgical Services Way
Kalispell, MT 59901
Phone (406) 751-5392

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 7

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 1

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1467795575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 S FAIR OAKS AVE FL 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052606",
            "telephone_number": "626-449-8910",
            "fax_number": "626-449-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 S FAIR OAKS AVE FL 1",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052606",
            "telephone_number": "626-449-8910",
            "fax_number": "626-449-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Four Mile Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599012663",
            "country_code": "US",
            "telephone_number": "406-756-2241",
            "fax_number": "406-758-7062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-117418",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "51129",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A170617",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A170617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "1333 Surgical Services Way",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599014844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.