NPIMap

Individual provider Active NPI

Thomas Michael Adams, MD

  • Family Medicine Physician
  • Murray, KY
National Provider Identifier
1720069479
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28935 Issued in KY
Practice address
1000 S 12TH St
Murray, KY 42071-9303
Phone
(270) 759-9200
Fax
(270) 759-9966
NPI assigned
Nov 9, 2005
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 28935 KY Primary

Addresses

Primary practice location

1000 S 12TH St
Murray, KY 42071-9303

Mailing address

1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 759-9200

Other identifiers 3

IdentifierTypeStateIssuer
000000050314OtherKYANTHEM PROV NUMBER
64289358MedicaidKY
080052100OtherKYRAILROAD MEDICARE PROV NU

Other names 1

  • T Micheal Adams Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000355 KY Practitioner - Family Practice 1052326816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 854-1444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28935KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
VMD Primary Providers Central Kentucky Family Medicine CurrentSince Jan 1, 2020 Accepting new patients

Locations

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

Interoperability endpoints

  • Direct secure messaging: thomas.adams.1@22064.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1720069479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420719303",
            "telephone_number": "270-759-9200",
            "fax_number": "270-759-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420719303",
            "telephone_number": "270-759-9200",
            "fax_number": "270-759-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "28935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV NUMBER",
            "identifier": "000000050314",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64289358",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV NU",
            "identifier": "080052100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T MICHEAL",
            "last_name": "ADAMS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.