NPIMap

Individual provider Active NPI

Adam George Mack, MD

  • Hospitalist Physician
  • Fort Collins, CO
National Provider Identifier
1588601561
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
49069 Issued in CO
Practice address
2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone
(970) 488-1666
Fax
(970) 472-9381
NPI assigned
May 31, 2006
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49069 CO
Hospitalist Physician 208M00000X 49069 CO Primary

Addresses

Primary practice location

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408

Mailing address

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (970) 488-1666

Other identifiers 2

IdentifierTypeStateIssuer
90970730MedicaidCO
P01020620OtherCOMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110324000882 CO Practitioner - HospitalistPractitioner - Internal Medicine 4183658503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49069COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Hospice Internal Medicine Current Accepting new patients
Pathways Hospice Internal Medicine CurrentSince Aug 23, 2023 Accepting new patients
Northern Colorado Hospitalists Professional LLC Hospitalist CurrentSince Dec 1, 2010 Accepting new patients
Medical Center of the Rockies Past Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Northwest Hospital Medicine Physicians LLC Internal Medicine Past Accepting new patients

Locations

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1236 E Elizabeth St
Ste 3
Fort Collins, CO 80524
Phone (970) 488-1666

2637 Midpoint Dr
Ste B
Fort Collins, CO 80525
Phone (970) 488-1640

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

Organizations & group practices 7

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1588601561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666",
            "fax_number": "970-472-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666",
            "fax_number": "970-472-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "ADAM",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49069",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "49069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90970730",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01020620",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.