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Adam Kupper

  • Male

Medical Specialty

Professional ID

  • NPI: 1134415516
  • PECOS ID: 5597059311
  • Enrollment ID: I20160802001708
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 030103
  • Business Name (LBN)1: Mayo Clinic Hospital

Medical Practices

  • Organization Name: Simonmed Imaging Incorporated
  • Group Practice ID assigned by PECOS: 5395633036
  • Number of Group Practice member: 89

Location

  • Address1: 9201 E Mountain View Rd
  • Address2: Suite 112
  • City: Scottsdale
  • State: Arizona
  • Zip Code: 85258
  • Phone Number: (602)714-6160

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):