ADAM MIETUS (PA-C) – Surgical Physician Assistant, NPI 1588025084

ADAM MIETUS (PA-C) is a healthcare provider. based in Tinley park, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ADAM MIETUS (PA-C) is 1588025084

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ADAM MIETUS (PA-C)
NPI
1588025084
Phone
(708) 599-5000
Address
16255 Harlem Ave
Enumeration Date
10 March 2016
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086848000
Graduation Year
2015 (11 years ago)
PAC ID
9739487422
Group Practice PAC ID
4789835836
Professional Enrollment ID
I20160413000983
Address ID
IL604532600OA4440XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ADAM MIETUS (PA-C)

  • 16255 Harlem Ave

    Tinley Park, IL 604771615

    Phone: (708) 599-5000

    Type: Location

  • West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 604532105

    Phone:

    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: 2016-04-13

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
I20160413000983IPhysician AssistantILTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4130$0
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
27447Replacement of knee joint, both sides of knee1919$0
27130Replacement of thigh bone and hip joint with prosthesis1312$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60477)

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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: 4789835836View full group profile
NameSpecialtyState
Physician AssistantIL
P O D I A T R YIL
-IL
Orthopedic Surgery, Hand SurgeryIL
-NY
Orthopedic SurgeryIL
Pain Management, AnesthesiologyIL
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

What federal number belongs to ADAM MIETUS (PA-C)?
The federal identifier for ADAM MIETUS (PA-C) is NPI 1588025084.
Is ADAM MIETUS (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ADAM MIETUS (PA-C)'s specialty in plain language?
Clinically, the directory lists ADAM MIETUS (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ADAM MIETUS (PA-C)?
We surface Tinley Park, Illinois for ADAM MIETUS (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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