Individual provider Active NPI

Adam Radolinski, MD, FACS

  • Colon & Rectal Surgery Physician
  • Lewisburg, TN
National Provider Identifier
1629078431
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
151288 Issued in NY
Practice address
3999 Nashville Hwy
Lewisburg, TN 37091-6555
Phone
(716) 984-4591
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 151288 NY Primary

Addresses

Primary practice location

3999 Nashville Hwy
Lewisburg, TN 37091-6555

Mailing address

3999 Nashville Hwy
Lewisburg, TN 37091-6555
Phone (716) 984-4591

Other identifiers 4

IdentifierTypeStateIssuer
1401420OtherNYINDEPENDENT HEALTH ASSOC.
007301OtherNYBLUE SHIELD
5007301OtherNYBLUE CROSS
7177COtherNYCOMMUNITY BLUE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adamradolinskimd@verizon.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee D. Billing Past Accepting new patients
General Physician, PC PastSince Nov 11, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1629078431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 NASHVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916555",
            "telephone_number": "716-984-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 NASHVILLE HWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370916555",
            "telephone_number": "716-984-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOLINSKI",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "151288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ASSOC.",
            "identifier": "1401420",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "007301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5007301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "7177C",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adamradolinskimd@verizon.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12449 Centerline Rd",
            "city": "South Wales",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141399521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.