Individual provider Active NPI

Michael C Adams, MD

  • Internal Medicine Physician
  • Granite City, IL
National Provider Identifier
1851383301
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036093660 Issued in IL
Practice address
2166 Madison Ave
Granite City, IL 62040-4700
Phone
(618) 452-3301
Fax
(618) 452-3312
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036093660 IL Primary

Addresses

Primary practice location

2166 Madison Ave
Granite City, IL 62040-4700

Mailing address

2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 452-3301

Other identifiers 1

IdentifierTypeStateIssuer
036093660OtherILSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.adams.1@9559.direct.athenahealth.com Direct

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
I20040419001269 IL Practitioner - Internal Medicine 1153316518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation Inc 117 clinicians

Practice addresses (Care Compare)

2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 332-0953

Hospital & facility affiliations

  • Apollo Medical Home health agency, Saint Louis, MO, CCN 267580
  • Gateway Regional Home Health - Granite City Home health agency, Granite City, IL, CCN 147729
  • Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
  • Gateway Regional Medical Center Hospital, Granite City, IL, CCN 140125
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc CurrentSince Feb 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc Internal Medicine Current Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Granite City Clinic Corp Internal Medicine Past Accepting new patients

Locations

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

4230 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-6870

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

2166 Madison Ave
Granite City, IL 62040
Phone (618) 452-3301

Interoperability endpoints

  • Direct secure messaging: michael.adams.1@9559.direct.athenahealth.com
  • Direct secure messaging: madams01@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1851383301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-452-3301",
            "fax_number": "618-452-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404700",
            "telephone_number": "618-452-3301",
            "fax_number": "618-452-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036093660",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.adams.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2166 Madison Ave",
            "city": "Granite City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620404700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.