Individual provider Active NPI

Adam Connell, M.D.

  • Psychiatry Physician
  • Metropolis, IL
National Provider Identifier
1588026579
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.152471 Issued in IL
Practice address
28 Chick St Ste 100
Metropolis, IL 62960-2467
Phone
(618) 524-8381
NPI assigned
Mar 28, 2016
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036.152471 IL Primary

Addresses

Primary practice location

28 Chick St Ste 100
Metropolis, IL 62960-2467

Mailing address

8810 Crestview Dr
Indianapolis, IN 46240-1935
Phone (618) 658-0639

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000527 IL Practitioner - Psychiatry 8022391663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massac Memorial HospitalGroup PAC ID 3072422799, 15 clinicians

Practice addresses (Care Compare)

28 Chick St
Metropolis, IL 62960-2467
Phone (618) 524-2176

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.152471ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massac Memorial Hospital CurrentSince Jul 1, 2020 Accepting new patients
Massac Memorial Hospital Current Accepting new patients
Massac Memorial Hospital Current Accepting new patients

Locations

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

28 Chick St
Ste 100
Metropolis, IL 62960
Phone (618) 524-8381

Interoperability endpoints

  • Direct secure messaging: adamconnell@massac.medalliesdirect.net

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.

Hospital & facility affiliations 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1588026579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8810 CRESTVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401935",
            "telephone_number": "618-658-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHICK ST STE 100",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602467",
            "telephone_number": "618-524-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.152471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metropolis, IL

Sources for this page

Verify at the official NPI Registry.