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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL DAVID ADAMS MD
NPI 1154018133
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 20, 2023PECOS Enrolled
1030 W MICHIGAN ST STE C4600, INDIANAPOLIS, IN 46202(317) 278-6425(317) 278-6425 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Jun 4, 2025 (2 updates tracked since 2025).

About Samuel David Adams Md NPPES

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

SAMUEL DAVID ADAMS MD (NPI 1154018133) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (01100195A) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154018133
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL DAVID ADAMSCredential: MD
Location Address1030 W MICHIGAN ST STE C4600Indianapolis, IN 46202-5201
Mailing Address1030 W Michigan St Ste C4600Indianapolis, IN 46202-5201 · (317) 278-6425
Phone(317) 278-6425
Fax(317) 278-6425
Sole ProprietorNo
Enumeration DateApril 20, 2023
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1154018133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 01100195A
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.
1030 W MICHIGAN ST STE C4600, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel David Adams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

TYLER BERNARD SHUBITOWSKI MD
Pediatrics (Neonatal-Perinatal Medicine)
1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202
Marion County (317) 274-4716
DR. JAMES A. LEMONS MD
Pediatrics (Neonatal-Perinatal Medicine)
1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
CALLIE ROSE FISCHER MD
Pediatrics (Neonatal-Perinatal Medicine)
1030 W MICHIGAN ST STE C4600
INDIANAPOLIS, IN 46202
Marion County (317) 278-6425

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 Samuel Adams's NPI number?

The NPI number for Samuel Adams is 1154018133. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Samuel Adams located?

Samuel Adams practices at 1030 W Michigan St Ste C4600, Indianapolis, IN 46202. The listed phone number is (317) 278-6425.

What is Samuel Adams's specialty?

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

Is Samuel Adams enrolled in Medicare?

Yes. Samuel Adams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Adams was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.