Individual provider Active NPI

Margaret R Adam, MD

  • Internal Medicine Physician
  • Renton, WA
National Provider Identifier
1700812237
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00034792 Issued in WA
Practice address
64 Rainier Ave S
Renton, WA 98057
Phone
(425) 224-2144
Fax
(425) 341-9653
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0071923 CO
Internal Medicine Physician 207R00000X 1017900 MA
Internal Medicine Physician 207R00000X 70648 AZ
Internal Medicine Physician 207R00000X MD00034792 WA Primary

Addresses

Primary practice location

64 Rainier Ave S
Renton, WA 98057

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

1930 Post Alley
Seattle, WA 98101-1015
Phone (206) 728-4143

Other identifiers 5

IdentifierTypeStateIssuer
0039581OtherWALABOR & INDUSTRY
110211793OtherRAILROAD MEDICARE
AD2541OtherWABLUE SHIELD
8246985MedicaidWA
US4508822OtherWAAETNA/USHC SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 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
I20040420001760 WA Practitioner - Internal Medicine 9032105796 Reassigns benefits to 2 organizations
I20260429000088 CA Practitioner - Internal Medicine 9032105796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Connecticut School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 Edmondson St
Summerville, GA 30747-2141

PO Box
Kansas City, MO 64180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70648AZMDInternal Medicine Physician
DR.0071923COMDInternal Medicine Physician
1017900MAMDInternal Medicine Physician
MD00034792WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bastion Health PC CurrentSince Jun 3, 2024 Accepting new patients
Concerto Medical Group of Washington, P.C. CurrentSince Jun 18, 2024 Accepting new patients
Concerto Medical Group of Washington, PC Current Accepting new patients
Iora Health Massachusetts, P.C. Internal Medicine Past Accepting new patients
Iora Health, LLC Internal Medicine Past Accepting new patients

Locations

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

Organizations & group practices 6

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1700812237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "fax_number": "617-701-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RAINIER AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-224-2144",
            "fax_number": "425-341-9653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Post Alley",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011015",
            "country_code": "US",
            "telephone_number": "206-728-4143",
            "fax_number": "206-956-1018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAM",
        "first_name": "MARGARET",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0071923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1017900",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "70648",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00034792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0039581",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110211793",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AD2541",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8246985",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/USHC SPECIALIST",
            "identifier": "US4508822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.