Individual provider Active NPI

Richard C Adam, DPM

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1972641157
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0751 Issued in TX
Practice address
3026 Hillcrest Dr
San Antonio, TX 78201-7006
Phone
(210) 616-0871
Fax
(210) 733-1473
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0751 TX Primary

Addresses

Primary practice location

3026 Hillcrest Dr
San Antonio, TX 78201-7006

Mailing address

PO Box 100408
San Antonio, TX 78201-1708
Phone (210) 616-0871

Other identifiers 2

IdentifierTypeStateIssuer
0751OtherTXSTATE LICENSE
130995704MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100923001169 TX Practitioner - Podiatry 9931298007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard C Adam DPM PAGroup PAC ID 6103915236, 2 clinicians

Practice addresses (Care Compare)

3026 Hillcrest Dr
San Antonio, TX 78201-7006
Phone (210) 616-0871

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C Adam DPM PA Podiatrist CurrentSince Sep 7, 1990 Accepting new patients
Texas Premier Physical Therapy, LLC PastSince Sep 7, 1990 Accepting new patients

Locations

2829 Babcock Rd
Ste 115
San Antonio, TX 78229
Phone (210) 616-0871

3026 Hillcrest Dr
Ste 100
San Antonio, TX 78201

3026 Hillcrest Dr
San Antonio, TX 78201
Phone (210) 277-8787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1972641157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100408",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011708",
            "telephone_number": "210-616-0871",
            "fax_number": "210-733-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 HILLCREST DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782017006",
            "telephone_number": "210-616-0871",
            "fax_number": "210-733-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0751",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130995704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.