Shant Haroutun Adamian, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

74811 Issued in WI

Practice address

945 N 12TH St
Milwaukee, WI 53233-1305

Phone

(414) 219-7427

Fax

(414) 219-6078

NPI assigned

Mar 20, 2019

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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 2

Specialty

Obstetrics/Gynecology

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

The Physician and Midwife Collaborative PracticeGroup PAC ID 0648166405, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.06 of 100Reported as group

Quality

82.04

Improvement activities

40

Cost

70.83

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shant.adamian.1@7917.direct.athenahealth.com

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.

• The Physician and Midwife Collaborative Practice

  • Obstetrics Physician
  • Alexandria, VA
  • NPI 1831310820

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD
• Maryland Physicians Edge LLC

  • Obstetrics & Gynecology Physician
  • Silver Spring, MD
  • NPI 1972922920

  DC, VA

  Medicare reassignment Care Compare group
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Lake Ridge, VA
  • NPI 1386829794
  Medicare reassignment
• The Physician and Midwife Collaborative Practice

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
  • NPI 1083899488

  Single Specialty

  NPD

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1952861668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-7427",
            "fax_number": "414-219-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "414-219-7427",
            "fax_number": "414-219-6078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Kenmore Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041313",
            "country_code": "US",
            "telephone_number": "703-370-4300",
            "fax_number": "703-832-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMIAN",
        "first_name": "SHANT",
        "middle_name": "HAROUTUN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102207769",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "74811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalid N Adab, MD
• Adam I Bernstein D/B/a the Hearing Professionals
• Alefiyah Khuzema Adam
• Mitchell David Adam, DPT
• Stephanie Adamczyk, PA
• Stephanie Adamietz, APNP, CRNA
• Adams & Claybrooks Investments LLC
• Lisa Annette Adams-Qualls, SAC, APSW
• Brittany L Adams, RN
• Charlotte Adams

• Obstetrics & Gynecology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.