Active NPI
Ian Adam, MD FACP
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1679748537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2024-00461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46852 | Other | FL | BCBS-FL |
| P00807385 | Other | FL | RR MEDICARE |
| 2210259 | Other | FL | GHI |
| 323667 | Other | FL | AVMED |
| 009511000 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME101463 | FL | MD | Internal Medicine Physician |
| 2024-00461 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Internal Medicine Consultants, Inc. | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1699760926
Internal Medicine, NC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.