Individual provider Active NPI

John Michael Adams, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1831393420
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M8465 Issued in TX
Practice address
19016 Stone Oak Pkwy Ste 106
San Antonio, TX 78258
Phone
(210) 314-5475
Fax
(877) 706-2506
NPI assigned
Jun 14, 2007
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M8465 TX Primary

Addresses

Primary practice location

19016 Stone Oak Pkwy Ste 106
San Antonio, TX 78258

Mailing address

1141 N Loop 1604 E # 105-158
San Antonio, TX 78232-1339
Phone (210) 314-5475

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://provider.kareo.com/dr-john-adams-1 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090727000697 TX Practitioner - Psychiatry 6800949637 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8465TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Adams, MD Psychiatry PLLC CurrentSince May 22, 2012 Accepting new patients

Locations

1141 N Loop 1604 E
San Antonio, TX 78232
Phone (210) 844-5952

1141 N Loop 1604 E
Ste 105158
San Antonio, TX 78232
Phone (210) 264-4594

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1831393420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105-158",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "210-314-5475",
            "fax_number": "877-706-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-314-5475",
            "fax_number": "877-706-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M8465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://provider.kareo.com/dr-john-adams-1",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Practice Website",
            "address_1": "19016 Stone Oak Pkwy Ste 106",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.