Individual provider Active NPI

Adam Lee Goldman, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bartlett, IL
National Provider Identifier
1790225803
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
036.151798 Issued in IL
Practice address
1110 W Schick Rd
Bartlett, IL 60103-3007
Phone
(630) 372-1100
NPI assigned
Mar 8, 2017
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036.151798 IL Primary

Addresses

Primary practice location

1110 W Schick Rd
Bartlett, IL 60103-3007

Mailing address

1110 W Schick Rd
Bartlett, IL 60103-3007
Phone (630) 372-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20231114000396 IL Practitioner - Orthopedic Surgery 9638446958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suburban Orthopaedics LTDGroup PAC ID 7113950700, 18 clinicians

Practice addresses (Care Compare)

1110 W Schick Rd
Bartlett, IL 60103-3007
Phone (630) 372-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.79 of 100Reported as group
Quality
24.52
Promoting interoperability
96
Improvement activities
40
Cost
65.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.151798ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Orthopaedics LTD Sports Medicine CurrentSince Sep 6, 2023 Accepting new patients

Locations

1110 W Schick Rd
Bartlett, IL 60103
Phone (630) 233-7029

1600 N Randall Rd
Ste 110
Elgin, IL 60123
Phone (630) 349-4199

1101 Perimeter Dr
Ste 125
Schaumburg, IL 60173
Phone (630) 793-4933

Organizations & group practices 1

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 5

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": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1790225803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-372-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-372-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ADAM",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036.151798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.