Active NPI
Raymond D Adamcik, M.D.
- Internal Medicine Physician
- Satellite Beach, FL
National Provider Identifier
1891788410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME71737
- Practice address
- 1290 Highway A1A Ste 103
Satellite Beach, FL 32937-2477 - Phone
- (321) 690-0003
- Fax
- (321) 214-2803
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME71737 | FL | Primary |
Addresses
Primary practice location
1290 Highway A1A Ste 103
Satellite Beach, FL 32937-2477
Mailing address
1290 Highway A1A Ste 103
Satellite Beach, FL 32937-2477
Phone (321) 690-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760629612 | Other | FL | NPI ORG - |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME71737 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1891788410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 HIGHWAY A1A STE 103",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372477",
"telephone_number": "321-690-0003",
"fax_number": "321-214-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 HIGHWAY A1A STE 103",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329372477",
"telephone_number": "321-690-0003",
"fax_number": "321-214-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMCIK",
"first_name": "RAYMOND",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME71737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI ORG -",
"identifier": "1760629612",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Satellite Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.