NPIMap

Individual provider Active NPI

Michael R Macadams, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lubbock, TX
National Provider Identifier
1477611044
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
J6163 Issued in TX
Practice address
2716 82ND St
Lubbock, TX 79423-1428
Phone
(806) 793-4440
Fax
(806) 793-4452
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X J6163 TX Primary

Addresses

Primary practice location

2716 82ND St
Lubbock, TX 79423-1428

Mailing address

PO Box 53487
Lubbock, TX 79453-3487
Phone (806) 793-4440

Other identifiers 4

IdentifierTypeStateIssuer
132193708MedicaidTX
0040KHOtherTXBCBS
P00089245OtherTXRAILROAD MEDICARE
100201111OtherTXFIRST CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050310001047 TX Practitioner - EndocrinologyPractitioner - Internal Medicine 9931153004 Practice locations: Lubbock, TX

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Michigan Medical School, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2716 82ND St
Lubbock, TX 79423-1428
Phone (806) 793-4440

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group Past Accepting new patients
Covenant Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.macadams@direct.myteamcare.com

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.

Hospital & facility affiliations 10

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1477611044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53487",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794533487",
            "telephone_number": "806-793-4440",
            "fax_number": "806-793-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231428",
            "telephone_number": "806-793-4440",
            "fax_number": "806-793-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACADAMS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "J6163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132193708",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0040KH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00089245",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "100201111",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.