DR. ADAM BLAISDELL
NPI 1013448471
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
564 1ST AVE, APT 17K, NEW YORK, NY 10016(651) 271-1496 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Adam Blaisdell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM BLAISDELL (NPI 1013448471) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2017).

NPPES Registry Identity

NPI1013448471
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ADAM BLAISDELL
Location Address564 1ST AVE, APT 17KNew York, NY 10016-6482
Mailing Address564 1st Ave, Apt 17kNew York, NY 10016-6482 · (651) 271-1496
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2017
Enumeration DateMarch 27, 2017
NPI 1013448471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

564 1ST AVE, New York, NY 10016

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Adam Blaisdell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658783881
PECOS Enrollment IDI20230728000791
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
29 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services24 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
22 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
12 services12 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
564 1ST AVE, APT 17U
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
564 1ST AVE, UNIT 20Y
NEW YORK, NY 10016
Speech-Language Pathologist
564 1ST AVE, #23A
NEW YORK, NY 10016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Blaisdell's NPI number?

The NPI number for Adam Blaisdell is 1013448471. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Adam Blaisdell located?

Adam Blaisdell practices at 564 1st Ave Apt 17K, New York, NY 10016. The listed phone number is (651) 271-1496.

What is Adam Blaisdell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Blaisdell enrolled in Medicare?

Yes. Adam Blaisdell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Adam Blaisdell was last updated on March 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.