Individual provider Active NPI

Laura T Adam, M.D.

  • Family Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1619318532
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.152317 Issued in OH
Practice address
2145 N Fairfiled Rd
Ste 100
Beavercreek, OH 45431-2783
Phone
(937) 558-3900
Fax
(937) 558-3900
NPI assigned
Jul 8, 2013
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A136805 CA
Family Medicine Physician 207Q00000X 275039 MA
Internal Medicine Physician 207R00000X 35.152317 OH
Family Medicine Physician 207Q00000X 35.152317 OH Primary

Addresses

Primary practice location

2145 N Fairfiled Rd
Ste 100
Beavercreek, OH 45431-2783

Mailing address

2145 N Fairfield Rd Ste 100
Beavercreek, OH 45431-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250212001844 OH Practitioner - Family Practice 6800102559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians
South Dayton Acute Care Consultants, IncGroup PAC ID 3577452465, 116 clinicians

Practice addresses (Care Compare)

2145 N Fairfield Rd
Suite 100
Beavercreek, OH 45431-2556
Phone (937) 558-3900

33 W Rahn Rd
Dayton, OH 45429-2219

3535 Pentagon Park Blvd
Beavercreek, OH 45431-1705
Phone (937) 352-2241

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136805CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc Family Medicine CurrentSince Mar 27, 2025 Accepting new patients
Kettering Independent Medical Group Inc Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
South Dayton Acute Care Consultants, Inc Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Kettering Medical Center Past Accepting new patients
Boston Medical Center Corporation Past Accepting new patients
Beavercreek Medical Center Past Accepting new patients

Locations

2145 N Fairfield Rd
Ste 100
Beavercreek, OH 45431
Phone (937) 558-3900

3535 Pentagon Blvd
Ste 220
Beavercreek, OH 45431
Phone (937) 429-7350

3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

4790 Cottonville Rd
Jamestown, OH 45335
Phone (937) 675-2870

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 6

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 11

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1619318532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N FAIRFIELD RD STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 N FAIRFILED RD",
            "address_2": "STE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454312783",
            "telephone_number": "937-558-3900",
            "fax_number": "937-558-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "LAURA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A136805",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "275039",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.152317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.152317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.