Individual provider Active NPI

Jennifer Adams, MD

  • Diagnostic Radiology Physician
  • Sidney, MT
National Provider Identifier
1770540254
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
67519 Issued in MT
Practice address
216 14TH Ave SW
Sidney, MT 59270
Phone
(406) 488-2100
NPI assigned
Apr 27, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 67519 MT Primary

Addresses

Primary practice location

216 14TH Ave SW
Sidney, MT 59270

Mailing address

216 14TH Ave SW
Sidney, MT 59270-3519
Phone (406) 488-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jadams11796102@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040527000244 SC Practitioner - Diagnostic Radiology 0143201913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 Hwy 81 N
Anderson, SC 29621-1532
Phone (864) 225-6286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67519MTMDDiagnostic Radiology Physician
25728SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Health Center Current Accepting new patients
Sidney Health Center Current Accepting new patients
Sidney Health Center CurrentSince Aug 20, 2018 Accepting new patients
Sidney Health Center CurrentSince Aug 20, 2018 Accepting new patients
Florence Radiological Diagnostic Radiology Past Accepting new patients
Upstate Carolina Radiology PA Diagnostic Radiology PastSince Apr 3, 2022 Accepting new patients
Upstate Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

Interoperability endpoints

  • Direct secure messaging: jadams11796102@direct.sanfordhealth.org

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1770540254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592703519",
            "telephone_number": "406-488-2100",
            "fax_number": "406-488-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 14TH AVE SW",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "59270",
            "telephone_number": "406-488-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "67519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jadams11796102@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "216 14th Ave SW",
            "city": "Sidney",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, MT

Sources for this page

Verify at the official NPI Registry.