Individual provider Active NPI

Adam Michael Myers, DPM

  • Podiatrist
  • Dover, OH
National Provider Identifier
1972571545
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003164M Issued in OH
Practice address
515 Union Ave
#147
Dover, OH 44622-3004
Phone
(330) 339-6233
Fax
(330) 343-8460
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003164M OH Primary

Addresses

Primary practice location

515 Union Ave
#147
Dover, OH 44622-3004

Mailing address

515 Union Ave
#147
Dover, OH 44622-3004
Phone (330) 339-6233

Other identifiers 5

IdentifierTypeStateIssuer
9378401OtherOHMEDICARE
P00653532OtherOHRAILROAD
2868884MedicaidOH
2236075MedicaidOH
000000579652OtherOHANTHEM

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116000732 OH Practitioner - Podiatry 6800797341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Myers and Miller Podiatry IncGroup PAC ID 0446319701, 5 clinicians

Practice addresses (Care Compare)

515 Union Ave
Suite 147
Dover, OH 44622-3005
Phone (330) 339-6233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
74.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue89
Removal of nail tissue1297
Removal or shaving of skin growth293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003164MOHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Twin City Podiatrist CurrentSince Feb 27, 2019 Accepting new patients
Myers & Miller Podiatry Inc Podiatrist CurrentSince Oct 1, 2008 Accepting new patients
Trinity Hospital Twin City CurrentSince Feb 27, 2019 Accepting new patients

Locations

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

515 Union Ave
Ste 147
Dover, OH 44622
Phone (330) 339-6233

1261 Wooster Rd
Ste 220
Millersburg, OH 44654
Phone (330) 345-1540

Interoperability endpoints

  • Direct secure messaging: adammyers@mmpi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1972571545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "#147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "#147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003164M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9378401",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00653532",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2868884",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2236075",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000579652",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.