PAUL J ADAMS (DO) – Emergency Medicine Physician, NPI 1205814902

PAUL J ADAMS (DO) is a healthcare provider. based in Fort lauderdale, Florida. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. OS7893 (FL). The NPI Number for PAUL J ADAMS (DO) is 1205814902

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
PAUL J ADAMS (DO)
NPI
1205814902
Phone
Not provided
Address
1128 NE 17TH WAY
Enumeration Date
4 January 2006
Last Update Date
8 July 2010

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3055857110
Graduation Year
1995 (31 years ago)
PAC ID
9739159237
Group Practice PAC ID
1759432362
Professional Enrollment ID
I20040730000874
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PAUL J ADAMS (DO)

  • Northeast 17th Way, Sunrise Key, Fort Lauderdale, Broward County, Florida, 33304, United States

    FORT LAUDERDALE, FL 333042432

    Phone:

    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: 2004-07-30

PECOS data refreshed: 2026-05-27

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
I20040730000874IEmergency MedicineFLTBD

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 33304)

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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: 1759432362View full group profile
NameSpecialtyState
-NH
-FL
Emergency Medicine, Pediatric MedicineFL
Nurse PractitionerFL
Emergency MedicineFL
-FL
-FL
Emergency MedicineFL
Emergency Medicine, Pediatric MedicineNY
-WA

Reviews

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Frequently asked questions

Is there an official ID for PAUL J ADAMS (DO) in U.S. healthcare records?
The official identifier for PAUL J ADAMS (DO) is NPI 1205814902.
Is there an active status for PAUL J ADAMS (DO)?
For scheduling context, PAUL J ADAMS (DO) is shown as active in the registry.
What kind of doctor is PAUL J ADAMS (DO)?
PAUL J ADAMS (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PAUL J ADAMS (DO) located near Fort Lauderdale?
PAUL J ADAMS (DO) currently maps to Fort Lauderdale, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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