NPIMap

Individual provider Active NPI

Rebecca Sara Adams, MD

  • Family Medicine Physician
  • Van Wert, OH
National Provider Identifier
1912988940
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35083523 Issued in OH
Practice address
1178 Professional Dr
Van Wert, OH 45891-2461
Phone
(419) 238-6251
Fax
(419) 238-1652
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35083523 OH Primary

Addresses

Primary practice location

1178 Professional Dr
Van Wert, OH 45891-2461

Mailing address

1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251

Other identifiers 2

IdentifierTypeStateIssuer
P00253550OtherOHRR MEDICARE
2586689MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.adams@vwfp.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102001080 OH Practitioner - Family Practice 0143282038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terrence L Johnson and Robert C Adams PTR 7 clinicians

Practice addresses (Care Compare)

1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251

Hospital & facility affiliations

  • Fountain Park Home Care, LLC Home health agency, Van Wert, OH, CCN 368142
  • Community Health Professionals, Inc Home health agency, Van Wert, OH, CCN 367131
  • Heritage Health Care Services Home health agency, Lima, OH, CCN 367587
  • CHP Home Care & Hospice Hospice, Van Wert, OH, CCN 361507
  • Legacy Hospice Inc Hospice, Lima, OH, CCN 361716
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071
  • Paulding County Hospital Hospital, Paulding, OH, CCN 361300
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Van Wert Manor Nursing home, Van Wert, OH, CCN 365246

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions33
Removal or shaving of skin growth44
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35083523OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terrence L Johnson & Robert C Adams PTR Family Medicine CurrentSince Aug 18, 2005 Accepting new patients
Miami Valley Emergency Specialists, LLC Past Accepting new patients
HCF of Van Wert, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1178 Professional Dr
Van Wert, OH 45891
Phone (419) 238-6251

Interoperability endpoints

  • Direct secure messaging: rebeccaadams@vanwfamphy.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHP Home Care & HospiceVan Wert, OH, CCN 361507 Hospice Contracted Managing Employee Feb 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 10

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

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1912988940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-238-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-238-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "REBECCA",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35083523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00253550",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586689",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.adams@vwfp.directbygreenway.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1178 Professional Dr",
            "city": "Van Wert",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458912461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.