DR. DANIEL ROBERT ADAM (MD) – Internal Medicine Physician, NPI 1548826555
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 GENERAL PRACTICE in IL
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Provider Addresses for DR. DANIEL ROBERT ADAM (MD)
Au Bon Pain, 1650, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123800
Phone: (312) 942-5000
Type: Mailing
14843 Creditview Dr
Savage, MN 553783610
Phone: (952) 380-7643
Type: Location
7650 Currell Blvd Ste 260
Woodbury, MN 551258209
Phone: (952) 345-3000
Fax: (952) 345-6789
Type: Location
1630 101st Ave NE
Blaine, MN 554493400
Phone: (952) 345-3000
Fax: (952) 345-6789
Type: Location
162 Cobblestone Ln
Burnsville, MN 553374578
Phone: (952) 345-3000
Fax: (952) 345-6789
Type: Location
4801 W 81ST ST STE 112
BLOOMINGTON, MN 554371111
Phone: (952) 913-2907
Fax: (952) 345-6789
Type: Mailing
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: 2024-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240715000464 | I | General Practice | MN | TBD |
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.
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 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Occupational Therapist In Private Practice | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physician Assistant | MN | |
| Qualified Audiologist | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN |
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