Jonathan D Adams, MD
Individual provider Active NPI Family Medicine Physician · State College, PA
NPI 1679537401 · NPPES record last updated Aug 13, 2012
Key facts
- NPI
- 1679537401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD027382E (PA)
- Practice address
- 1850 E Park Ave
State College, PA 16803-6706 - Phone
- (800) 243-1455
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Milton S Hershey Medical Center Physicians Group
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8866
Hospital & facility affiliations
- Medi Home Health Agency
- Milton S Hershey Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100405000240 | PA | Practitioner - Family Practice | 6800922568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD027382E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physician Group | Current |
Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Milton S Hershey Medical Center Physicians Group | Family Medicine | Current |
Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Family Medicine | Past | Accepting new patients |
Locations
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
1850 E Park Ave
Ste 207
State College, PA 16803
Phone (814) 235-2480
143 Hospital Dr
Ste 312
State College, PA 16803
Phone (814) 235-2480
143 Hospital Dr
Ste 207
State College, PA 16803
Phone (814) 235-2480
1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD027382E | PA | Yes |
Addresses
Primary practice location
1850 E Park Ave
State College, PA 16803-6706
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009777110002 | Medicaid | PA |
Other providers in State College, PA
- A Journey to You...LLC
- Aaron T. Roan D.M.D & Associates P.C.
- Above and Beyond Speech Therapy, LLC
- Active Orthotics & Prosthetics, LLC
- Catherine Adams
- Amanda L Adkinson
- Advanced Chiropractic of State College
- Advanced Orthopedics Center
- Advanced Urgent Care PC
- Advanced Wound Care Corporation
All providers in State College, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2012. 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.