Individual provider Active NPI

Michael Harris Ader, M.D.

  • Pulmonary Disease Physician
  • Hanover, PA
National Provider Identifier
1275517112
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD028690E Issued in PA
Practice address
250 Fame Ave
Suite 202
Hanover, PA 17331-1587
Phone
(717) 632-9263
Fax
(717) 646-7439
NPI assigned
Dec 5, 2005
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD028690E PA Primary

Addresses

Primary practice location

250 Fame Ave
Suite 202
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 202
Hanover, PA 17331-1587
Phone (717) 632-9263

Other identifiers 1

IdentifierTypeStateIssuer
0009084650005MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mader86974@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101102000847 PA Practitioner - Pulmonary Disease 5294929329 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

250 Fame Ave
Ste 202
Hanover, PA 17331
Phone (717) 632-9263

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Organizations & group practices 4

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1275517112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 202",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-9263",
            "fax_number": "717-646-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 202",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-632-9263",
            "fax_number": "717-646-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADER",
        "first_name": "MICHAEL",
        "middle_name": "HARRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD028690E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009084650005",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mader86974@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "250 Fame Ave",
            "address_2": "Suite 202",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173311587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.