KELLY LYNN ADAMS (D.O.) – Emergency Medicine Physician, NPI 1053483750

KELLY LYNN ADAMS (D.O.) is a healthcare provider. based in Cooper city, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS 9082 (FL). The NPI Number for KELLY LYNN ADAMS (D.O.) is 1053483750

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LYNN ADAMS (D.O.)
NPI
1053483750
Phone
(954) 609-9001
Address
5722 S FLAMINGO RD
Enumeration Date
15 November 2006
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
3524981360
Graduation Year
1988 (38 years ago)
PAC ID
8729982160
Group Practice PAC ID
3072424282
Professional Enrollment ID
I20040607001621
Address ID
FL326283305CR149XXSTXX400

Contacts

Secure Messaging
kelly.adams@trhs.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,232 EMERGENCY MEDICINE in FL

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Provider Addresses for KELLY LYNN ADAMS (D.O.)

  • 5722, South Flamingo Road, Cooper City, Broward County, Florida, 33330, United States

    #273

    COOPER CITY, FL 333303206

    Phone: (954) 609-9001

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($39).

Total Amount

$39

General + Research + Ownership

Payments

1

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040607001621IEmergency MedicineFLTBD
I20070207000314IEmergency MedicineGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage3332$0
G0008Administration of influenza virus vaccine3332$0
View full utilization report →

Insurance plans in this area (ZIP 33330)

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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: 3072424282View full group profile

Reviews

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Frequently asked questions

How is KELLY LYNN ADAMS (D.O.) identified in CMS data?
CMS-hosted NPPES data lists KELLY LYNN ADAMS (D.O.) with NPI 1053483750.
Can I rely on KELLY LYNN ADAMS (D.O.) being an active provider?
As of the registry snapshot, KELLY LYNN ADAMS (D.O.) is marked active.
What healthcare role does KELLY LYNN ADAMS (D.O.) hold?
Scheduling teams often label KELLY LYNN ADAMS (D.O.) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KELLY LYNN ADAMS (D.O.) based?
KELLY LYNN ADAMS (D.O.) is tied to Cooper City, Florida in the data we show; additional addresses may exist on the full record.
Why does KELLY LYNN ADAMS (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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