NPIMap

Individual provider Active NPI

John Adam Jelinek, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lewiston, ID
National Provider Identifier
1568410025
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
M-10275 Issued in ID
Practice address
320 Warner Dr
Lewiston, ID 83501-4441
Phone
(208) 743-3523
Fax
(208) 746-8741
NPI assigned
May 5, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD 60001068 WA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M-10275 ID Primary

Addresses

Primary practice location

320 Warner Dr
Lewiston, ID 83501-4441

Mailing address

320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523

Other identifiers 4

IdentifierTypeStateIssuer
238312OtherWAWA DEPT OF LABOR & INDUSTRIES
77378OtherIDBLUE CROSS OF ID
808097200MedicaidID
8517518MedicaidWA

Other names 1

  • Adam Jelinek Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080922000183 WA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0749290609 Reassigns benefits to 2 organizations
I20081206000192 ID Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 0749290609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Washington School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Hospital LLCGroup PAC ID 8325325806, shared by 6 NPIs, 91 clinicians
Catalyst Medical Group PLLCGroup PAC ID 2365722105, 31 clinicians

Practice addresses (Care Compare)

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (509) 758-5511

320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523

325 Warner Dr
Lewiston, ID 83501-4437
Phone (208) 798-8500

808 Port Dr
Clarkston, WA 99403-6009
Phone (208) 746-1383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement43
Knee replacement59
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)73
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60001068WAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
Catalyst Medical Group, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Lewis & Clark Orthopaedic Institute LLC PastSince Sep 1, 2010 Accepting new patients

Locations

2315 8th St Grade
Lewiston, ID 83501
Phone (208) 746-1383

318 Warner Dr
Lewiston, ID 83501
Phone (208) 298-1050

320 Warner Dr
Lewiston, ID 83501
Phone (208) 298-1022

325 Warner Dr
Lewiston, ID 83501
Phone (208) 791-6183

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

1174 Alturas Dr
Moscow, ID 83843
Phone (208) 743-3523

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

808 Port Dr
Clarkston, WA 99403
Phone (208) 746-1383

Interoperability endpoints

  • Direct secure messaging: jjelinek@cmgadmin.directmessaging.net
  • Direct secure messaging: john.jelinek.1@16883.direct.athenahealth.com
  • Direct secure messaging: john.jelinek.1@28344.direct.athenahealth.com

Organizations & group practices 4

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 12

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1568410025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINEK",
        "first_name": "JOHN",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WA",
            "license": "MD 60001068",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "M-10275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUSTRIES",
            "identifier": "238312",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ID",
            "identifier": "77378",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808097200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8517518",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "JELINEK",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.