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

Michael Max Adam, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1740608272

Michael Max Adam, MD is an Interventional Radiology in Provo, Utah. Qualified in 2014, 12 years ago. Practices with Revere Health PC, a 410-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Missouri and Utah.

Years since qualifying
12
Licensed in
MO, UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 112
Provo, UT 84604-3305
Phone: (801) 812-4624
Fax: (801) 812-4699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1175 E 50 S Ste 141, American Fork, UT 84003-2845 — (801) 812-4624
  • 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 — (801) 812-4624
  • 555 W Sr 164, Salem, UT 84653 — (801) 812-4624
  • 30 N 1900 E, Salt Lake City, UT 84132-0002 — (801) 581-7606
  • 2825 E Mall Dr, St George, UT 84790-1954 — (435) 986-2238

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 11685099-1205 (UT)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2019009760 (MO)

Record details

NPI number1740608272
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo