Victor Adan, MD
Individual provider Active NPI Emergency Medicine Physician · Franklin, NC
NPI 1497719645 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1497719645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 200000694 (NC)
- Practice address
- Riverview White Oak St
Franklin, NC 28734 - Phone
- (843) 237-3378
- Fax
- (843) 237-5073
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical College of Georgia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salida Hospital District
Practice addresses (Care Compare)
1000 Rush Dr
Salida, CO 81201-9627
Phone (719) 530-2477
Hospital & facility affiliations
- Heart of the Rockies Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.69 of 100
- Quality
- 71.4
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000874 | NC | Practitioner - Emergency Medicine | 4789779836 | |
| I20151103000411 | CO | Practitioner - Emergency Medicine | 4789779836 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salida Hospital District | Current |
Accepting new patients | |
| Salida Hospital District | Current |
Accepting new patients | |
| Salida Hospital District | Current |
Accepting new patients | |
| Western Carolina Mountain Emergency Medicine PA | Emergency Medicine | Past | Accepting new patients |
| Carolina Mountain Emergency Medicine PA | Emergency Medicine | Past | Accepting new patients |
| Carolina Mountain Emergency Medicine PA | Emergency Medicine | Past | Accepting new patients |
| Carolina Mountain Emergency Medicine PA | Emergency Medicine | Past | Accepting new patients |
Locations
550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014
1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 200000694 | NC | Yes |
Addresses
Primary practice location
Riverview White Oak St
Franklin, NC 28734
Mailing address
PO Box 1856
Pawleys Island, SC 29585-1856
Phone (843) 237-3378
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00683328J | Medicaid | GA | |
| 930102365 | Other | NC | RAILROAD |
| 127XW | Other | NC | BCBS |
| 89127XW | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emergencydepartment@direct.hrrmc.net | Salida Hospital District |
Other providers in Franklin, NC
- 2Noome, LLC
- Abt Secure Solutions LLC
- Robert John Adams
- Advantage Home and Community Care Inc.
- Advantage Home and Community Care Inc.
- Allan N Boruszak M D Limited
- Andrew Wayne Allen
- Leslie Allen
All providers in Franklin, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.