Individual provider Active NPI

Bart A Adams, MD

  • Ophthalmology Physician
  • Pendleton, OR
National Provider Identifier
1851344667
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD18666 Issued in OR
Practice address
1050 Southgate
Suite a
Pendleton, OR 97801-3953
Phone
(541) 276-4752
Fax
(541) 278-2918
NPI assigned
May 19, 2006
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 30047 MN
Ophthalmology Physician 207W00000X G65424 CA
Ophthalmology Physician 207W00000X MD18666 OR Primary

Addresses

Primary practice location

1050 Southgate
Suite a
Pendleton, OR 97801-3953

Mailing address

1050 Southgate
Suite a
Pendleton, OR 97801-3953
Phone (541) 276-4752

Other identifiers 1

IdentifierTypeStateIssuer
061275MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120509000311 OR Practitioner - Ophthalmology 7416938972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65424CAMDOphthalmology Physician
MD18666ORMDOphthalmology Physician
30047MNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pendleton Eye Clinic PC Ophthalmology CurrentSince Apr 1, 1994 Accepting new patients
East Oregon Surgery Center, LLC PastSince Mar 15, 2006 Accepting new patients

Locations

405 N 1st St
Ste 106
Hermiston, OR 97838
Phone (541) 371-1900

1050 Southgate
#A
Pendleton, OR 97801
Phone (541) 276-4752

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1851344667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SOUTHGATE",
            "address_2": "SUITE A",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013953",
            "telephone_number": "541-276-4752",
            "fax_number": "541-278-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SOUTHGATE",
            "address_2": "SUITE A",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013953",
            "telephone_number": "541-276-4752",
            "fax_number": "541-278-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BART",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "30047",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G65424",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD18666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061275",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.