Active NPI
Donald G. Adams, M.D.
- Family Medicine Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036129376
- Practice address
- 130 Lincoln Place CT Ste 130
Belleville, IL 62221-5884 - Phone
- (618) 257-1297
- NPI assigned
- Dec 22, 2005
- Last updated
- Feb 11, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036129376 | IL | Primary |
Addresses
Primary practice location
130 Lincoln Place CT Ste 130
Belleville, IL 62221-5884
Mailing address
130 Lincoln Place CT Ste 130
Belleville, IL 62221-5884
Phone (618) 257-1297
Other practice location 1
333 S Illinois St
Ste. A
Belleville, IL 62220-2153
Phone (618) 277-4888
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2001 | Other | NC | MEDCOST |
| 0105902 | Other | NC | UNITED HEALTHCARE |
| P00251903 | Other | RAIL ROAD MEDICARE | |
| 2439407867 | Other | NC | CHAMPUS/TRICARE |
| 4115662 | Other | NC | AETNA |
| 139TV | Other | NC | BCBS |
| 036129376 | Medicaid | IL | |
| 1549555 | Other | NC | CIGNA |
| 5900917 | Medicaid | NC | |
| 806067 | Other | NC | PARTNERS MEDICARE CHOICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Family Practice
- Education
- Wake Forest University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Lincoln Place CT
Suite 130
Belleville, IL 62221-5884
Phone (618) 257-1297
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| PC Associates, LLC | Family Medicine | Past | Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
130 Lincoln Place Ct
Ste 130
Belleville, IL 62221
Phone (618) 257-1297
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6481
Interoperability endpoints
- dadams170894@direct.carenet.org
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.
-
dba BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Family Medicine Physician
- Dupo, IL
- NPI 1437462637
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Lexington, NC
- NPI 1639454499
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS Home Care Illinois
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
- Home Health Agency
- Saint Louis, MO
- NPI 1811432180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1508842352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LINCOLN PLACE CT STE 130",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622215884",
"telephone_number": "618-257-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LINCOLN PLACE CT STE 130",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622215884",
"telephone_number": "618-257-1297"
}
],
"practiceLocations": [
{
"address_1": "333 S Illinois St",
"address_2": "Ste. A",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622202153",
"country_code": "US",
"telephone_number": "618-277-4888",
"fax_number": "618-277-1190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "DONALD",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036129376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E2001",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0105902",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00251903",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "2439407867",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4115662",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139TV",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036129376",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1549555",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900917",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE CHOICE",
"identifier": "806067",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "130 Lincoln Place Ct Ste 130",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622215884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.