Individual provider Active NPI

Adam Polinik

  • Family Medicine Physician
  • Harpers Ferry, WV
National Provider Identifier
1992333660
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4083 Issued in WV
Practice address
171 Taylor St
Harpers Ferry, WV 25425-3641
Phone
(304) 535-6343
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 4083 WV Primary

Addresses

Primary practice location

171 Taylor St
Harpers Ferry, WV 25425-3641

Mailing address

171 Taylor St
Harpers Ferry, WV 25425-3641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230815004349 WV Practitioner - Family Practice 5395107890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 598-4000

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Jefferson Medical Center Nursing home, CCN 51Z319

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
93.66
Promoting interoperability
100
Improvement activities
20

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4083WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Family Medicine CurrentSince May 28, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 28, 2023 Accepting new patients
Jefferson Memorial Hospital Past Accepting new patients

Locations

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

203 E 4th Ave
Ranson, WV 25438
Phone (304) 535-6343

Organizations & group practices 3

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 4

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1992333660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 TAYLOR ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TAYLOR ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253641",
            "telephone_number": "304-535-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINIK",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harpers Ferry, WV

Sources for this page

Verify at the official NPI Registry.