NPIMap

Individual provider Active NPI

Benjamin Adams, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1760648646
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9993 Issued in TX
Practice address
12700 Park Central Dr Ste 900
Dallas, TX 75251-1542
Phone
(214) 860-6036
Fax
(972) 704-2871
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0510989 FL
Emergency Medicine Physician 207P00000X 20A15758 CA
Emergency Medicine Physician 207P00000X N9993 TX Primary

Addresses

Primary practice location

12700 Park Central Dr Ste 900
Dallas, TX 75251-1542

Mailing address

12700 Park Central Dr Ste 900
Dallas, TX 75251-1542
Phone (214) 860-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, CA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110823000762 TX Practitioner - Emergency Medicine 2961536743 Reassigns benefits to 1 organization
I20140117000437 NY Practitioner - Emergency Medicine 2961536743 Reassigns benefits to 1 organization
I20171207002443 CA Practitioner - Emergency Medicine 2961536743 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victory Emergency Physicians Medical Group IncGroup PAC ID 9133301732, 5 clinicians
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 260-5800

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15758CAMDProfessional Counselor
20A15758CAMDEmergency Medicine Physician
0510989FLMDEmergency Medicine Physician
N9993TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Glendale Emergency Medical Associates, Inc Emergency Medicine CurrentSince Mar 25, 2018 Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

Organizations & group practices 11

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 3

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1760648646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511542",
            "telephone_number": "214-860-6036",
            "fax_number": "972-704-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511542",
            "telephone_number": "214-860-6036",
            "fax_number": "972-704-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BENJAMIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "0510989",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A15758",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.