John Raymond Adams, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

04-26086 Issued in KS

Practice address

2735 Pembrook PL
Manhattan, KS 66502-7482

Phone

(785) 537-4990

Fax

(785) 537-1938

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• John Raymond Rivera Former name

Medicare fee-for-service enrollment

Enrolled in KS, MO, NE3 enrollments

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 3

Specialty

Dermatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Skin Cancer Center PAGroup PAC ID 1557304672, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin County Memorial Hospital Hospital, Franklin, NE, CCN 281311

Merit-based Incentive Payment System (MIPS)

Final score

52.91 of 100Reported as group

Quality

60.37

Promoting interoperability

0

Improvement activities

40

Cost

65.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Advanced Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Manhattan, KS
  • NPI 1124094867

  NE

  Medicare reassignment Care Compare group Authorized official

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

• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Franklin, NE
  • NPI 1255334660
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1891798245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-4990",
            "fax_number": "785-537-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-4990",
            "fax_number": "785-537-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509 W 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668016105",
            "country_code": "US",
            "telephone_number": "620-341-9335",
            "fax_number": "620-208-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Elmhurst Blvd",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674017403",
            "country_code": "US",
            "telephone_number": "785-376-6400",
            "fax_number": "785-914-5054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673545",
            "country_code": "US",
            "telephone_number": "785-521-7111",
            "fax_number": "620-208-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "747 N Burlington Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689014478",
            "country_code": "US",
            "telephone_number": "402-462-4872",
            "fax_number": "402-484-6253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 N Webb Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033325",
            "country_code": "US",
            "telephone_number": "308-384-0133",
            "fax_number": "402-484-6253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-26086",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KS",
            "license": "04-26086",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "04-26086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "RIVERA",
            "middle_name": "RAYMOND",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• MOHS-Micrographic Surgery Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• MOHS-Micrographic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.