Individual provider Active NPI

Adam D Gardner, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1689093288
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30575 Issued in OK
Practice address
13401 N Western Ave Ste 200
Oklahoma City, OK 73114-1410
Phone
(405) 252-3450
Fax
(405) 252-3499
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30575 OK Primary

Addresses

Primary practice location

13401 N Western Ave Ste 200
Oklahoma City, OK 73114-1410

Mailing address

13401 N Western Ave Ste 200
Oklahoma City, OK 73114-1410
Phone (405) 252-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20151104002664 OK Practitioner - Family Practice 2668782541 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saints Medical Group, LLCGroup PAC ID 7012914898, 430 clinicians

Practice addresses (Care Compare)

6201 N Santa Fe
Suite 2010
Oklahoma City, OK 73118-7538
Phone (405) 272-5555

Hospital & facility affiliations

  • Elara Caring XX Home health agency, Oklahoma City, OK, CCN 377648
  • SSM Health at Home Home Health - Oklahoma Home health agency, Oklahoma City, OK, CCN 377035
  • SSM Health at Home Hospice - Oklahoma Hospice, Oklahoma City, OK, CCN 371731
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
  • Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alva Hospital Authority CurrentSince Aug 7, 2016 Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Feb 17, 2016 Accepting new patients
Mark 5 Care Group, PLLC CurrentSince Oct 1, 2015 Accepting new patients
Alva Hospital Authority/Dba Share Medical Center CurrentSince Aug 7, 2016 Accepting new patients
Saints Medical Group, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Healthfirst Physicians Management Services, Inc Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Mar 1, 2018 Accepting new patients
SSM Health Care of Oklahoma, Inc. Family Medicine CurrentSince May 1, 2017 Accepting new patients
SSM Health Care of Oklahoma, Inc Current Accepting new patients
Saints Medical Group, LLC CurrentSince Jan 1, 2016 Accepting new patients
SSM Health Care of Oklahoma Inc CurrentSince May 1, 2017 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

13401 N Western Ave
Oklahoma City, OK 73114
Phone (405) 252-3400

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

13401 N Western Ave
Ste 200
Oklahoma City, OK 73114
Phone (405) 252-3450

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

1000 N Lee Ave
Rm 1921
Oklahoma City, OK 73102
Phone (405) 272-6053

608 NW 9th St
Ste 1000
Oklahoma City, OK 73102
Phone (405) 231-3000

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: agardner103897@direct-ehr-ssmhc.com
  • Direct secure messaging: adam.gardner.1@9147.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1689093288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141410",
            "telephone_number": "405-252-3450",
            "fax_number": "405-252-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141410",
            "telephone_number": "405-252-3450",
            "fax_number": "405-252-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ADAM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.