Individual provider Active NPI

Adam Nordstrom, M.D.

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1639481427
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
277579 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(718) 240-5000
NPI assigned
Jul 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 277579 NY Primary
Internal Medicine Physician 207R00000X 277579 NY

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

545 Prospect PL Apt 9D
Brooklyn, NY 11238-4271
Phone (510) 847-9916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150331001471 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 9335466358 Reassigns benefits to 2 organizations
I20200228000908 WA Practitioner - Emergency Medicine 9335466358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Saint Louis University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Ballard Emergency Physicians PSGroup PAC ID 1052209368, 24 clinicians

Practice addresses (Care Compare)

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 838-9700

5300 Tallman Ave NW
Seattle, WA 98107-3932
Phone (206) 782-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.12 of 100Reported as group
Quality
95.43
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 18, 2017 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Northwest Observation Associates PC Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jan 24, 2015 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 1, 2015 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine Current Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jan 24, 2015 Accepting new patients
Ballard Emergency Physicians, P.S. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

455 E Bay Dr
Long Beach, NY 11561
Phone (516) 432-8000

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: anordstrom32175@skagit.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1639481427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PROSPECT PL APT 9D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384271",
            "telephone_number": "510-847-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "277579",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "277579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.