Active NPI
Kenneth G. Adams, M.D.
- Cardiovascular Disease Physician
- Haverhill, MA
National Provider Identifier
1720082787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 49552
- Practice address
- 1 Parkway
Haverhill, MA 01830-6278 - Phone
- (978) 521-3270
- Fax
- (978) 469-5644
- NPI assigned
- Jun 8, 2005
- Last updated
- Aug 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 49552 | MA | Primary |
Addresses
Primary practice location
1 Parkway
Haverhill, MA 01830-6278
Mailing address
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 521-3288
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720082787 | Other | AETNA - HMO | |
| 0011274 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 060061827 | Other | RAILROAD MEDICARE | |
| 875007 | Other | NETWORK HEALTH | |
| J02809 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2186788 | Other | MA | CIGNA |
| A160348 | Other | INTEGRATED HEALTH PLAN | |
| 678820 | Other | MA | HEALTHSOURCE |
| 049552 | Other | MA | TUFTS HEALTH PLAN |
| 4365257 | Other | AETNA -- NON-HMO | |
| 00000287 | Other | NH | NH MEDICAID |
| 300015 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 110064339A | Medicaid | MA | |
| B74327 | Other | NH | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1720082787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3288",
"fax_number": "978-469-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3270",
"fax_number": "978-469-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KENNETH",
"middle_name": "G.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "49552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "1720082787",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0011274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060061827",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "875007",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J02809",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2186788",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTEGRATED HEALTH PLAN",
"identifier": "A160348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "678820",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "049552",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA -- NON-HMO",
"identifier": "4365257",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH MEDICAID",
"identifier": "00000287",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "300015",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110064339A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "B74327",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.