Active NPI
Adam J Clemens, MD
- Urology Physician
- Newark, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35-122927
- Practice address
- 1980 Tamarack Rd
Newark, OH 43055-1363 - Phone
- (220) 564-7520
- Fax
- (220) 564-7521
- NPI assigned
- Dec 10, 2008
- Last updated
- Sep 16, 2025
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35-122927 | OH | Primary |
Addresses
Primary practice location
1980 Tamarack Rd
Newark, OH 43055-1363
Mailing address
1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7520
Other practice location 1
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 468-0732
Other practice location 2
715 Richland Mall
Ontario, OH 44906-3802
Phone (419) 468-0732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099799 | Medicaid | OH |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aclemens43699@lickingmemorial.medicity.net | Licking Memorial Professional Corporation | |
| Direct Messaging Address | aclemens684753@direct.osumc.edu | ||
| Direct Messaging Address | aclemens684753@direct.osumc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Medical College of Ohio, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1980 Tamarack Rd
Newark, OH 43055-1363
Phone (220) 564-7520
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-122927 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Memorial Health Professionals | Current | Accepting new patients | |
| Licking Memorial Professional Corporation | Current | Accepting new patients | |
| Florida Physician Specialists LLC | Current | Accepting new patients | |
| Premier Urology Corp | Urology | Current | Accepting new patients |
| Licking Memorial Professional Corporation | Current | Accepting new patients | |
| Knox Community Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients |
Locations
710 Lomax St
Jacksonville, FL 32204
Phone (904) 306-6781
120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
1980 Tamarack Rd
Newark, OH 43055
Phone (220) 564-7520
430 Altair Pkwy
Ste 200
Westerville, OH 43082
Phone (614) 818-0215
477 Cooper Rd
Ste 220
Westerville, OH 43081
Phone (614) 818-0215
Interoperability endpoints
- aclemens684753@direct.osumc.edu
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Newark, OH
- NPI 1326072265
-
- Urology Physician
- Westerville, OH
- NPI 1598925638
-
dba Licking Memorial Orthopedic DME
- Durable Medical Equipment & Medical Supplies
- Newark, OH
- NPI 1326436510
-
dba Licking Memorial Pathologists
- Anatomic Pathology & Clinical Pathology Physician
- Newark, OH
- NPI 1932186053
-
- Radiation Oncology Physician
- Jacksonville, FL
- NPI 1588917108
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
-
dba Licking Memorial Surgical Services
- Surgery Physician
- Newark, OH
- NPI 1366461386
-
dba Licking Memorial Pediatrics-Utica
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1477798049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1980 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551363",
"telephone_number": "220-564-7520",
"fax_number": "220-564-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551363",
"telephone_number": "220-564-7520",
"fax_number": "220-564-7521"
}
],
"practiceLocations": [
{
"address_1": "629 N Sandusky Ave",
"address_purpose": "LOCATION",
"city": "Bucyrus",
"state": "OH",
"postal_code": "448201821",
"country_code": "US",
"telephone_number": "419-468-0732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Richland Mall",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OH",
"postal_code": "449063802",
"country_code": "US",
"telephone_number": "419-468-0732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLEMENS",
"first_name": "ADAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-10",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35-122927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099799",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aclemens43699@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Professional Corporation",
"address_1": "1980 Tamarack Rd",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551363",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aclemens684753@direct.osumc.edu",
"affiliation": "N",
"address_1": "629 N Sandusky Ave",
"city": "Bucyrus",
"state": "OH",
"country_code": "US",
"postal_code": "448201821",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aclemens684753@direct.osumc.edu",
"affiliation": "N",
"address_1": "715 Richland Mall",
"city": "Ontario",
"state": "OH",
"country_code": "US",
"postal_code": "449063802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.