Individual provider Active NPI

Adam James Olscamp, MD

  • Orthopaedic Surgery Physician
  • Coeur D Alene, ID
National Provider Identifier
1619080439
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-6956 Issued in ID
Practice address
1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone
(208) 457-4211
Fax
(208) 773-1473
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-6956 ID Primary

Addresses

Primary practice location

1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190

Mailing address

1233 N Northwood Center CT Ste 101
Coeur D Alene, ID 83814-6190
Phone (208) 457-4211

Other identifiers 1

IdentifierTypeStateIssuer
1619080439MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
87.24
Promoting interoperability
100
Improvement activities
40
Cost
71.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-6956IDMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: adam.olscamp.1@28236.direct.athenahealth.com
  • Direct secure messaging: adam.olscamp.1@2944.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1619080439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N NORTHWOOD CENTER CT STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146190",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N NORTHWOOD CENTER CT STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146190",
            "telephone_number": "208-457-4211",
            "fax_number": "208-773-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSCAMP",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-6956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619080439",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.