Adam R Koelsch, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31945 Issued in AZ

Practice address

9522 E San Salvador Dr
Suite 317
Scottsdale, AZ 85258-5557

Phone

(480) 767-1190

Fax

(480) 614-1934

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 30, 2016 through Aug 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Adam R Koelsch, M.D., P.C.

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1245347517
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1558559518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "SUITE 317",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-767-1190",
            "fax_number": "480-614-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "SUITE 317",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-767-1190",
            "fax_number": "480-614-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELSCH",
        "first_name": "ADAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "31945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koda Plastic Surgery
• Lavanya Kodali, MD
• Syed Matthew Kodilinye, MBBS
• Chanakya Kodishala, MBBS
• Tony James Koehler, DC
• Babette Witkind Koenig, D.O.
• Rebecca Cheryl Koenigsberg, DO
• Laura Marie Koepke, MS, RN, ANP
• Jonathan Koerperick, D.D.S.
• Helen Koester, MS, LPC

• Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.