Nichole Lea Adami, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Elkhorn, WI
NPI 1972997344 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1972997344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 70624-20 (WI)
- Practice address
- 201 E Morrissey Dr
Elkhorn, WI 53121-4395 - Phone
- (262) 723-3100
- Fax
- (262) 723-7064
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000
Hospital & facility affiliations
- Aurora Memorial Hospital Burlington
- Aurora Lakeland Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190717001504 | WI | Practitioner - Obstetrics/Gynecology | 1052623501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70624-20 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
201 E Morrissy Dr
Elkhorn, WI 53121
Phone (262) 723-3100
146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- nadami230342@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 70624-20 | WI | Yes |
Addresses
Primary practice location
201 E Morrissey Dr
Elkhorn, WI 53121-4395
Mailing address
201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100
Other practice location 1
8414 Naab Rd
Suite 210
Indianapolis, IN 46260-1972
Phone (317) 338-7510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100089832 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nadami230342@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Elkhorn, WI
- Abdulmoniem H Abdulmoniem
- Cassandra Abel
- Heather Abels
- Hoda Ahmadi
- Dahlal Al-Zubeidi
- Joy Alderman
- Elizabeth Jane Aldred
- All Encompassing Counseling LLC
All providers in Elkhorn, WI · Obstetrics & Gynecology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.