Active NPI
Adam Krouse, D.O.
- Family Medicine Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6890
- Practice address
- 19301 N Pennsylvania Ave
Edmond, OK 73012-4641 - Phone
- (405) 601-6450
- Fax
- (405) 601-6465
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6890 | OK | Primary |
Addresses
Primary practice location
19301 N Pennsylvania Ave
Edmond, OK 73012-4641
Mailing address
3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 601-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150812007369 | CA | Practitioner - Family Practice | 3072753557 | Reassigns benefits to 1 organization |
| I20200513002011 | OK | Practitioner - Family Practice | 3072753557 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Oklahoma CommunitiesHoag Clinic
Practice addresses (Care Compare)
2017 W I 35 Frontage Rd
Mercy Clinic
Edmond, OK 73013-8504
Phone (405) 757-3365
4699 Jamboree Rd
Newport Beach, CA 92660-2504
Phone (949) 557-0951
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
- Hoag Memorial Hospital Presbyterian
- O U Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6890 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
4699 Jamboree Rd
Newport Beach, CA 92660
Phone (949) 557-0714
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
2017 W I 35 Frontage Rd
Edmond, OK 73013
Phone (405) 509-2800
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- akrouse1055062@directc.mercy.net
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
Family Medicine, OK
-
- Endocrinology, Diabetes & Metabolism Physician
- Oklahoma City, OK
- NPI 1750986295
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1588919476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 QUAIL SPRINGS PKWY FL 5",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731342640",
"telephone_number": "405-601-6450",
"fax_number": "405-601-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19301 N PENNSYLVANIA AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730124641",
"telephone_number": "405-601-6450",
"fax_number": "405-601-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROUSE",
"first_name": "ADAM",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "6890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.