Active NPI
Adam Lee Harrold, M.D.
- Sports Medicine (Family Medicine) Physician
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 2015032303
- Practice address
- 2609 Glenn Hendren Dr
Liberty, MO 64068-3313 - Phone
- (816) 781-7730
- Fax
- (816) 781-6973
- NPI assigned
- Jun 14, 2013
- Last updated
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013017875 | MO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2015032303 | MO | Primary |
Addresses
Primary practice location
2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Mailing address
PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 407-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56906012 | Other | MO | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Phone (816) 781-7730
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013017875 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Corporation | Family Medicine | Current | Accepting new patients |
| New Liberty Hospital Coporation | Current | Accepting new patients | |
| Liberty Hospital Urgent Care, LLC | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Family Medicine | Current | Accepting new patients |
| New Liberty Hospital Coporation | Family Medicine | Past | Accepting new patients |
Locations
8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555
398 Blue Jay Dr
Liberty, MO 64068
Phone (816) 407-2315
Interoperability endpoints
- adam.harroldmd.p2@direct.nlhc.nextgenshare.com
Organizations & group practices 5
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.
-
dba The Kearney Clinic
- Family Medicine Physician
- Kearney, MO
- NPI 1669734661
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1558778373
-
- Nephrology Physician
- Liberty, MO
- NPI 1053284190
-
dba The Liberty Clinic
- Family Medicine Physician
- Liberty, MO
- NPI 1023360690
-
dba Liberty Hospital Primary Care Shoal Creek
- Family Medicine Physician
- Kansas City, MO
- NPI 1821518630
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Specialized Home Care
- Home Health Agency
- Independence, MO
- NPI 1427478213
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1134568918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219672",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641219672",
"telephone_number": "816-407-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683313",
"telephone_number": "816-781-7730",
"fax_number": "816-781-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARROLD",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013017875",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MO",
"license": "2015032303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56906012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.