NPIMap

Individual provider Active NPI

Adam D. Houghton, MD

  • Family Medicine Physician
  • Bloomington, IL
National Provider Identifier
1568783439
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.132740 Issued in IL
Practice address
9 Heartland Dr
Suite C
Bloomington, IL 61704-7732
Phone
(309) 663-7642
Fax
(309) 663-8359
NPI assigned
Jun 15, 2010
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11015561A IN
Family Medicine Physician 207Q00000X 036.132740 IL Primary

Addresses

Primary practice location

9 Heartland Dr
Suite C
Bloomington, IL 61704-7732

Mailing address

9 Heartland Dr
Suite C
Bloomington, IL 61704-7732
Phone (309) 663-7642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001016 IL Practitioner - Family Practice 1557523586 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Bloomington Primary Care, LTD.Group PAC ID 9436342375, 10 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 3400
Normal, IL 61761-6523
Phone (309) 556-8295

135 N Williamsburg Dr
Bloomington, IL 61704-3528
Phone (309) 664-9104

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

9 Heartland Dr
Suite C
Bloomington, IL 61704-7733
Phone 3096637642901

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.132740ILMDFamily Medicine Physician
11015561AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Bromenn Medical Center CurrentSince Mar 23, 2022 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Mar 23, 2022 Accepting new patients
Carle Bromenn Medical Center CurrentSince Mar 23, 2022 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

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 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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1568783439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEARTLAND DR",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047732",
            "telephone_number": "309-663-7642",
            "fax_number": "309-663-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HEARTLAND DR",
            "address_2": "SUITE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047732",
            "telephone_number": "309-663-7642",
            "fax_number": "309-663-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "ADAM",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11015561A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.132740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.