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JERRY W ADAMS MD
NPI 1417042714
General Practice in Indianapolis, IN

Active since October 03, 2006PECOS Enrolled
3351 NORTH MERIDIAN STREET, STE 202, INDIANAPOLIS, IN 46208(317) 926-8839(317) 926-8853 Get Directions Write a Review

NPPES record last updated: July 17, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jerry W Adams Md NPPES

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

JERRY W ADAMS MD (NPI 1417042714) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (01028871) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417042714
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJERRY W ADAMSCredential: MD
Location Address3351 NORTH MERIDIAN STREET, STE 202Indianapolis, IN 46208
Mailing AddressPo Box 88193Indianapolis, IN 46208 · (317) 926-8839 · Fax (317) 926-8853
Phone(317) 926-8839
Fax(317) 926-8853
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 17, 2010
✔ NPI 1417042714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01028871
Definition
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
3351 NORTH MERIDIAN STREET, Indianapolis, IN 46208
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Other Identifiers 3

Medicare UPINC24345
Medicare ID-Type Unspecified135890IN
Medicaid100084010CIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry W 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.

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 Jerry Adams's NPI number?

The NPI number for Jerry Adams is 1417042714. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Jerry Adams located?

Jerry Adams practices at 3351 North Meridian Street Ste 202, Indianapolis, IN 46208. The listed phone number is (317) 926-8839.

What is Jerry Adams's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jerry Adams enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jerry Adams was last updated on July 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.