Individual provider Active NPI

Ian Adam, MD FACP

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1679748537
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-00461 Issued in NC
Practice address
3237 Blue Ridge Rd
Raleigh, NC 27612-8010
Phone
(919) 781-7500
Fax
(919) 645-3054
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME101463 FL
Internal Medicine Physician 207R00000X 2024-00461 NC Primary

Addresses

Primary practice location

3237 Blue Ridge Rd
Raleigh, NC 27612-8010

Mailing address

3237 Blue Ridge Rd
Raleigh, NC 27612-8010
Phone (919) 781-7500

Other identifiers 5

IdentifierTypeStateIssuer
46852OtherFLBCBS-FL
P00807385OtherFLRR MEDICARE
2210259OtherFLGHI
323667OtherFLAVMED
009511000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240701000539 NC Practitioner - Internal Medicine 6709948128 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME101463FLMDInternal Medicine Physician
2024-00461NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Internal Medicine Consultants, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Unity Healthcare LLC Internal Medicine Past Accepting new patients
Access Healthcare LLC Internal Medicine Past Accepting new patients

Locations

3100 Blue Ridge Rd
Ste 300
Raleigh, NC 27612
Phone (919) 781-7500

3237 Blue Ridge Rd
Raleigh, NC 27612
Phone (919) 781-7500

Interoperability endpoints

  • Direct secure messaging: iadammd@wimc.trimed.direct-ci.com

Organizations & group practices 3

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1679748537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128010",
            "telephone_number": "919-781-7500",
            "fax_number": "919-645-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128010",
            "telephone_number": "919-781-7500",
            "fax_number": "919-645-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME101463",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-00461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-FL",
            "identifier": "46852",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00807385",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2210259",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "323667",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009511000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.