Individual provider Active NPI

Nelson Leon Adams III, M.D., FACOG

  • Obstetrics & Gynecology Physician
  • North Miami Beach, FL
National Provider Identifier
1851375182
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0045738 Issued in FL
Practice address
100 NW 170TH St Ste 304
North Miami Beach, FL 33169-5511
Phone
(305) 653-4105
Fax
(305) 652-3566
NPI assigned
Nov 30, 2005
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0045738 FL Primary

Addresses

Primary practice location

100 NW 170TH St Ste 304
North Miami Beach, FL 33169-5511

Mailing address

100 NW 170TH St
Suite 304
North Miami Beach, FL 33169-5513
Phone (305) 653-4105

Other identifiers 1

IdentifierTypeStateIssuer
064964300MedicaidFL

Other names 1

  • Dr. Nelson Leon Adams III Professional name

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
I20040510000099 FL Practitioner - Obstetrics/Gynecology 4880682145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro-Miami OB/GYN Associates, P.a.Group PAC ID 7618965971, 2 clinicians

Practice addresses (Care Compare)

100 NW 170TH St
Suite 304
N Miami Beach, FL 33169-5511
Phone (305) 653-4105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0045738FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro-Miami OB/GYN Associates, P.a. Obstetrics & Gynecology CurrentSince Feb 1, 2004 Accepting new patients
Adrian Delboca, MD PA Obstetrics & Gynecology Past Accepting new patients

Locations

100 NW 170th St
Ste 304
North Miami Beach, FL 33169
Phone (305) 653-4105

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1851375182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST",
            "address_2": "SUITE 304",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695513",
            "telephone_number": "305-653-4105",
            "fax_number": "305-652-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 170TH ST STE 304",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695511",
            "telephone_number": "305-653-4105",
            "fax_number": "305-652-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "NELSON",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D., FACOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0045738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064964300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELSON",
            "last_name": "ADAMS",
            "middle_name": "LEON",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "M.D., FACOG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.