Adam Jackson, MD
Adam Jackson, MD is a Pediatric Anesthesiology Physician in Rochester, MN, registered under NPI 1407483415. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 200 1ST ST SW, Rochester, MN 55905. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 76911 | MN | Pediatric Anesthesiology Physician primary |
| 76911 | MN | Anesthesiology Physician |
This provider holds licence 76911 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Anesthesiology
- PAC ID
- 3577008986
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Minnesota | I20240710001537 | Practitioner - Anesthesiology |
| Texas | I20251028002620 | Practitioner - Anesthesiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Anesthesiology. There are 2 separate enrolment records across 2 states (MN, TX). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatric Anesthesiology covers
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. NUCC Health Care Provider Taxonomy, code 207LP3000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207LP3000X | Pediatric Anesthesiology Physician Pediatric Anesthesiology | 76911 | MN | primary |
| 207L00000X | Anesthesiology Physician | 76911 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1407483415 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 27, 2020 |
| Last updated | Jan 23, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
200 1ST ST SW Rochester, MN 55905 (507) 284-2511 |
| Mailing address |
PO BOX 860912 Minneapolis, MN 55486 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 0 | 7 | 4 | 8 | 3 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 8 | 8 | 6 | 4 | 2 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.