Individual provider Active NPI

Adam D Abroms, MD

  • Ophthalmology Physician
  • Westlake Village, CA
National Provider Identifier
1497743702
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G73707 Issued in CA
Practice address
4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361
Phone
(805) 987-5300
Fax
(818) 707-7668
NPI assigned
Oct 11, 2005
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G73707 CA Primary

Addresses

Primary practice location

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361

Mailing address

4353 Park Terrace Dr Ste 150
Westlake Village, CA 91361-4639
Phone (805) 987-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041102000415 CA Practitioner - Ophthalmology 7315909447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Dougherty M D IncGroup PAC ID 9739171828, 16 clinicians

Practice addresses (Care Compare)

4353 Park Terrace Dr
Suite 150
Westlake Village, CA 91361-4639
Phone (805) 987-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery704

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G73707CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adv Vision LLC Ophthalmology CurrentSince Aug 26, 2017 Accepting new patients
Adam D Abroms MD Inc Ophthalmology Current Accepting new patients
Abroms Dougherty Vision ASC LLC Current Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

104 Gateway Center Dr
Ste B
Paso Robles, CA 93446
Phone (805) 237-1610

525 Plaza Dr
Ste 304
Santa Maria, CA 93454
Phone (805) 349-7133

821 E Chapel St
Santa Maria, CA 93454
Phone (805) 735-7623

835 Aerovista Pl
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 457-9568

4353 Park Terrace Dr
Ste 150
Westlake Vlg, CA 91361
Phone (805) 695-2462

Interoperability endpoints

  • Direct secure messaging: aabroms@uvpdlv.intellechartdirect.net

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 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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1497743702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614639",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 PARK TERRACE DR STE 150",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-987-5300",
            "fax_number": "818-707-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABROMS",
        "first_name": "ADAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G73707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.