Individual provider Active NPI

Joseph A Adams, M.D.

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1578637294
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0032783 Issued in MD
Practice address
6701 N Charles St
Suite 4104
Towson, MD 21204-6808
Phone
(410) 231-3323
NPI assigned
Nov 17, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0032783 MD Primary

Addresses

Primary practice location

6701 N Charles St
Suite 4104
Towson, MD 21204-6808

Mailing address

1405 Berwick Rd
Towson, MD 21204-6509
Phone (410) 339-7108

Other identifiers 8

IdentifierTypeStateIssuer
1410OtherMDCAREFIRST OF MD
10780000000OtherMDPREFERRED HEALTH NETWORK
1393924OtherMDCIGNA HEALTHCARE
1100706OtherMDAETNA HMO
000138227008OtherMDUNITED HEALTHCARE
5620093OtherMDAETNA PPO
621491600MedicaidMD
R4760001OtherDCCAREFIRST OF DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000437 MD Practitioner - Addiction MedicinePractitioner - Internal Medicine 5395984777 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0032783MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omnis Health Life, LLC CurrentSince Jun 1, 2019 Accepting new patients
Omnis Health Life, LLC CurrentSince Jun 1, 2019 Accepting new patients
Park Heights Health Services, Inc. PastSince May 22, 2017 Accepting new patients

Locations

2200 Garrison Blvd
Baltimore, MD 21216
Phone (240) 204-5594

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1578637294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 BERWICK RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046509",
            "telephone_number": "410-339-7108",
            "fax_number": "410-823-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "address_2": "SUITE 4104",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046808",
            "telephone_number": "410-231-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0032783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MD",
            "identifier": "1410",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH NETWORK",
            "identifier": "10780000000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "1393924",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1100706",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000138227008",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5620093",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621491600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "R4760001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.