Adam James Mayberry, PA
Physician Assistant, Medical in Chicago, IL. Individual provider (NPI-1).
NPI number1902437296
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1902437296
- Entity type
- Individual (NPI-1)
- Name
- Adam James Mayberry
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2020
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085007405 | IL | Yes |
Practice location
1500 S Fairfield AveChicago, IL 60608-1782
Phone 312-498-6037
Mailing address
3051 W Lyndale StChicago, IL 60647-2811
Phone 312-498-6037
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Chicago, IL
- Traci Aaron, PA-CNPI 1174510200
- Jeneson J Abraham, P.A.NPI 1013975218
- Danya AbuawadNPI 1851257414
- Agape Family Wound Care LLCNPI 1770362196
- Margaux Albair, PA-CNPI 1558506238
- Kathryn Allen, PANPI 1841777687
- Kalinee Hansen Alston, PA-CNPI 1851985824
- Sarai Alvarez, PA-CNPI 1114627601
- Sidney AyersNPI 1942021019
- Jennifer Eidam Babiarz, PANPI 1457456105
All 180 Medical Physician Assistant providers in Chicago · All 81,422 providers in Chicago
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.