NPIMap

Individual provider Active NPI

Jeremy J Adamowicz, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1790131357
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002086A Issued in IN
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone
(317) 338-3634
NPI assigned
May 12, 2016
Last updated
Aug 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002086A IN Primary

Addresses

Primary practice location

2001 W 86TH St
Indianapolis, IN 46260-1902

Mailing address

8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160815001458 IN Practitioner - Physician Assistant 5294029286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of the West PCGroup PAC ID 5890931331, 17 clinicians

Practice addresses (Care Compare)

1701 McDowell Rd
Evansville, IN 47712-5431
Phone (877) 866-7123

1750 Lindberg Rd
West Lafayette, IN 47906-4956
Phone (765) 464-5600

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

2741 N Salisbury St
West Lafayette, IN 47906-1431
Phone (877) 866-7123

55 Willow St
Nashville, IN 47448-7013
Phone (877) 866-7123

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

868 S Washington St
Morristown, IN 46161-9633
Phone (877) 866-7123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002086AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. CurrentSince Jul 14, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jul 14, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Physician Assistant CurrentSince Jul 14, 2019 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 14, 2019 Accepting new patients
Saint Vincent Physician Services, Inc. Physician Assistant Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8333 Naab Rd
Ste 230
Indianapolis, IN 46260
Phone (317) 415-6580

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

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.

Hospital & facility affiliations 4

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1790131357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 COMMERCE PARK PL STE E",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOWICZ",
        "first_name": "JEREMY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002086A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.