Makaela Adamson, PA
Individual provider Active NPI Physician Assistant · San Diego, CA
NPI 1629782867 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1629782867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 9045 Balboa Ave
San Diego, CA 92123-1509 - Phone
- (801) 558-7098
- NPI assigned
- Jan 12, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240611001767 | UT | Practitioner - Physician Assistant | 0244772812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Bronson Lakeview Hospital | Past | Accepting new patients |
Locations
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- madamson462832@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
9045 Balboa Ave
San Diego, CA 92123-1509
Mailing address
4722 Bountiful Ridge Dr
Bountiful, UT 84010-5888
Phone (801) 558-7098
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madamson462832@direct.med.utah.edu | Direct | University of Utah |
Other providers in San Diego, CA
- Stanley David Adams
- Tanesha Adams
- Travis Clay Adams
- Casey Adamson
- John W Adamson
- Marie Harriet Adamson
- Robert M. Adamson
- Stephanie Jane Adamson
- Thomas Charles Adamson III
- Tyler E Adamson
All providers in San Diego, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.