Individual provider Active NPI

Christopher L Adelman, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Cleveland, OH
National Provider Identifier
1063499598
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35055967A Issued in OH
Practice address
2351 E 22ND St
Cleveland, OH 44115
Phone
(216) 363-2580
Fax
(440) 366-5600
NPI assigned
Dec 27, 2005
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35055967A OH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35055967A OH Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115

Mailing address

2351 E 22ND St
Cleveland, OH 44115-3111
Phone (216) 363-2580

Other practice location 1

2863 State Route 45 N
Rock Creek, OH 44084-9352
Phone (216) 695-5063

Other practice location 2

35900 Euclid Ave
Willoughby, OH 44094-4623
Phone (440) 563-3400

Other practice location 3

1127 Carnegie Ave
Cleveland, OH 44115-2805
Phone (216) 861-4246

Other identifiers 3

IdentifierTypeStateIssuer
0679145MedicaidOH
930047005OtherOHPALMETTO GBA RETIRED
000000135962OtherOHANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000103 OH Practitioner - Emergency Medicine 3072578947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35055967AOHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Link Center LLC Emergency Medicine CurrentSince Jan 1, 2005 Accepting new patients
Community Counseling Center of Ashtabula County CurrentSince Feb 1, 2021 Accepting new patients
Ohio Bureau of Drug Abuse Past Accepting new patients
Bureau of Drug Abuse,Cleveland Treatment Center,Inc. Past Accepting new patients
Glenbeigh Past Accepting new patients
Ues Geauga, LLC Emergency Medicine Past Accepting new patients

Locations

2801 C Ct
Ashtabula, OH 44004
Phone (440) 998-0722

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1063499598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-363-2580",
            "fax_number": "440-366-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-363-2580",
            "fax_number": "440-366-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2863 State Route 45 N",
            "address_purpose": "LOCATION",
            "city": "Rock Creek",
            "state": "OH",
            "postal_code": "440849352",
            "country_code": "US",
            "telephone_number": "216-695-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35900 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944623",
            "country_code": "US",
            "telephone_number": "440-563-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1127 Carnegie Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152805",
            "country_code": "US",
            "telephone_number": "216-861-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35055967A",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35055967A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0679145",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RETIRED",
            "identifier": "930047005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000135962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.