Individual provider Active NPI

Adam Lee Harrold, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Liberty, MO
National Provider Identifier
1134568918
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
2015032303 Issued in MO
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
56906012OtherMOBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151208000491 MO Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Emergency Medicine 4880823210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Phone (816) 781-7730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013017875MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
New Liberty Hospital Coporation CurrentSince Sep 1, 2017 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Sep 20, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.