Individual provider Active NPI

Amelia K Adcock, M.D.

  • Neurology Physician
  • Scottsdale, AZ
National Provider Identifier
1497982623
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25456 Issued in WV
Practice address
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone
(304) 293-1643
NPI assigned
Jun 15, 2009
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 43431 AZ
Neurology Physician 2084N0400X 25456 WV Primary

Addresses

Primary practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 293-1643

Other practice location 1

1 Medical Center Dr.
Suite 7500 WVU Healthcare
Morgantown, WV 26506-9180
Phone (304) 293-1643

Other practice location 2

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address aadcock27168@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address aadcock27168@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address aadcock393838@ehrdirect.mayoclinicmsg.org
Direct Messaging Address aadcock27168@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, AZ, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131028001149 WV Practitioner - Neurology 5698915270 Reassigns benefits to 9 organizations
I20170324001066 AZ Practitioner - Neurology 5698915270 Reassigns benefits to 1 organization
I20240813001304 MN Practitioner - Neurology 5698915270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ponce School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43431AZMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Grafton City Hospital Inc Current Accepting new patients
Mayo Clinic CurrentSince Jun 30, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Mar 22, 2021 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Feb 5, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 13, 2013 Accepting new patients
United Physicians Care Inc Neurology CurrentSince Dec 25, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Mar 22, 2021 Accepting new patients
Grafton City Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
West Virginia University Medical Corporation Neurology CurrentSince Aug 13, 2013 Accepting new patients
Grafton City Hospital Inc CurrentSince Apr 1, 2020 Accepting new patients
Monongalia County General Hospital Company CurrentSince Jul 1, 2019 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jul 1, 2019 Accepting new patients
Monongalia County General Hospital Company Neurology CurrentSince Jul 1, 2019 Accepting new patients
Mayo Clinic Arizona CurrentSince Apr 3, 2017 Accepting new patients
Mayo Clinic Arizona CurrentSince Apr 3, 2017 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Mayo Clinic CurrentSince Jun 30, 2024 Accepting new patients
United Physicians Care Inc CurrentSince Dec 25, 2023 Accepting new patients
Mayo Clinic Current Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jul 1, 2019 Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800

13400 E Shea Blvd
Scottsdale, AZ 85259

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2185

333 Laidley St
Fl 2W
Charleston, WV 25301
Phone (304) 347-6116

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1 Medical Center Dr
Ste 7500
Morgantown, WV 26506
Phone (304) 293-1643

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: aadcock27168@direct.wvuhsdirect.com
  • Direct secure messaging: aadcock393838@ehrdirect.mayoclinicmsg.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04
  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1497982623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-293-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595452",
            "telephone_number": "304-293-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr.",
            "address_2": "Suite 7500 WVU Healthcare",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265069180",
            "country_code": "US",
            "telephone_number": "304-293-1643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "AMELIA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "43431",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "25456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aadcock27168@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aadcock27168@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aadcock393838@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aadcock27168@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.