JERRY W ADAMS MD NPI 1417042714

NPI Information

  • NPI: 1417042714
  • Provider Name: JERRY W ADAMS, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3351 NORTH MERIDIAN STREET
    STE 202
    INDIANAPOLIS, IN
    ZIP 46208
  • Phone: (317) 926-8839

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NPI Details

Jerry W Adams, MD is a general practice in Indianapolis, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jerry W Adams, MD NPI is 1417042714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3351 NORTH MERIDIAN STREET
STE 202
INDIANAPOLIS, IN
ZIP 46208
Phone: (317) 926-8839
Fax: (317) 926-8853

The NPI 1417042714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice01028871INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C24345MEDICARE UPIN
2135890MEDICARE ID-TYPE UNSPECIFIEDINDIANA
3100084010CMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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