DR. GINA M ADAIR (M.D.) – Family Medicine Physician, NPI 1619930179

DR. GINA M ADAIR (M.D.) is a healthcare provider. based in Tracy, California. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A80234 (CA). The NPI Number for DR. GINA M ADAIR (M.D.) is 1619930179

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. GINA M ADAIR (M.D.)
NPI
1619930179
Phone
(209) 839-3300
Address
2185 W GRANT LINE RD
Enumeration Date
7 April 2006
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
2098393200
Graduation Year
2000 (26 years ago)
PAC ID
6204897846
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20050802001251

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. GINA M ADAIR (M.D.)

  • Tracy Medical Offices, 2185, West Grant Line Road, Tracy, San Joaquin County, California, 95377, United States

    TRACY, CA 953777309

    Phone: (209) 839-3300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802001251IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Is DR. GINA M ADAIR (M.D.) listed with a National Provider Identifier?
Yes — DR. GINA M ADAIR (M.D.) has NPI 1619930179 on file in the registry.
Is DR. GINA M ADAIR (M.D.) still an active registrant?
DR. GINA M ADAIR (M.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. GINA M ADAIR (M.D.)?
DR. GINA M ADAIR (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. GINA M ADAIR (M.D.) located near Tracy?
DR. GINA M ADAIR (M.D.) currently maps to Tracy, California in this extract.
When was this NPI issued?
Enumeration for DR. GINA M ADAIR (M.D.) is noted as April 7, 2006 where the registry provides it.

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