Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam James Mayberry, PA

Individual provider Medical Physician Assistant · NPI 1902437296

Adam James Mayberry, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 S Fairfield Ave
Chicago, IL 60608-1782
Phone: (312) 498-6037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085007405 (IL)

Record details

NPI number1902437296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 27, 2020
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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