Individual provider Active NPI

Adam D. Falchook, MD

  • Neurology Physician
  • Stuart, FL
National Provider Identifier
1780773465
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME106727 Issued in FL
Practice address
1111 SE Indian St Ste 102
Stuart, FL 34997-5765
Phone
(772) 675-0000
Fax
(772) 675-1111
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN10013 FL
Neurology Physician 2084N0400X ME106727 FL Primary

Addresses

Primary practice location

1111 SE Indian St Ste 102
Stuart, FL 34997-5765

Mailing address

1111 SE Indian St Ste 102
Stuart, FL 34997-5765
Phone (772) 675-0000

Other identifiers 1

IdentifierTypeStateIssuer
003745600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110718000567 FL Practitioner - Neurology 8426226408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN10013FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1780773465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE INDIAN ST STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975765",
            "telephone_number": "772-675-0000",
            "fax_number": "772-675-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE INDIAN ST STE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975765",
            "telephone_number": "772-675-0000",
            "fax_number": "772-675-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCHOOK",
        "first_name": "ADAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN10013",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME106727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003745600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.