Individual provider Active NPI

Adam Henry Hall Altman, M.D.

  • Ophthalmology Physician
  • Wright Pat, OH
National Provider Identifier
1891173373
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-19012 Issued in OH
Practice address
4881 Sugar Maple Dr
Wright Pat, OH 45433-5529
Phone
(513) 602-0652
NPI assigned
May 15, 2015
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD-19012 OH Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Pat, OH 45433-5529

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (513) 984-5133

Other practice location 1

89 Sylvania Dr
Dayton, OH 45440-3281
Phone (513) 984-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240306000493 OH Practitioner - Ophthalmology 0345636387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cei Physicians PSC, LLCGroup PAC ID 0749186427, 155 clinicians

Practice addresses (Care Compare)

89 Sylvania Dr
Beavercreek, OH 45440-3281
Phone (513) 569-3741

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery358
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-19012OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cei Physicians PSC, LLC CurrentSince Mar 15, 2024 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Mar 15, 2024 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

1945 Cei Dr
Blue Ash, OH 45242

77 E Woodbury Dr
Ste 100
Dayton, OH 45415
Phone (937) 274-2117

80 E Woodbury Dr
Dayton, OH 45415
Phone (937) 320-2020

89 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-2020

1118 Fairington Dr
Sidney, OH 45365
Phone (937) 492-3755

180 S Stanfield Rd
Troy, OH 45373
Phone (937) 335-3933

180 S Stanfield Rd
Ste C
Troy, OH 45373

Interoperability endpoints

  • Direct secure messaging: adam.altman.p1@direct.cei.nextgenshare.com

Organizations & group practices 3

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": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1891173373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "513-984-5133",
            "fax_number": "513-984-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PAT",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "513-602-0652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Sylvania Dr",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454403281",
            "country_code": "US",
            "telephone_number": "513-984-5133",
            "fax_number": "513-984-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "ADAM",
        "middle_name": "HENRY HALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "MD-19012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Pat, OH

Sources for this page

Verify at the official NPI Registry.