Active NPI
Adam Alexander Liudahl, M.D.
- Diagnostic Radiology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD-44350
- Practice address
- 200 Hawkins Dr
Department of Radiology
Iowa City, IA 96813-2409 - Phone
- (319) 356-3396
- NPI assigned
- Jun 27, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD-44350 | IA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | MDR-6341 | HI |
Addresses
Primary practice location
200 Hawkins Dr
Department of Radiology
Iowa City, IA 96813-2409
Mailing address
1356 Lusitana St
6TH Floor
Honolulu, HI 96813-2409
Phone (808) 586-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6171
1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810
12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810
1555 Hull Ave
Des Moines, IA 50316-1341
Phone (515) 262-5639
1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1800
210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2355
300 Sioux Valley Dr
Cherokee, IA 51012-1205
Phone (712) 225-5101
311 S Clark St
Carroll, IA 51401-3038
Phone (712) 794-5202
3200 Grand Ave
Des Moines, IA 50312-4104
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Trinity Regional Medical Center
- Buena Vista Regional Medical Center
- Grinnell Regional Medical Center
- Cherokee Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 78.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-44350 | IA | MD | Diagnostic Radiology Physician |
| MDR-6341 | HI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines University Osteopathic Medical Center | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Iowa Physicians Clinic Medical Foundation | Past | Accepting new patients |
Locations
1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105
1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1528026481
-
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1336107283
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1043380801
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
-
- Critical Access Hospital
- Primghar, IA
- NPI 1689640500
-
- General Acute Care Hospital
- Fort Dodge, IA
- NPI 1487759858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510012800000",
"number": "1295099075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 LUSITANA ST",
"address_2": "6TH FLOOR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132409",
"telephone_number": "808-586-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPARTMENT OF RADIOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "968132409",
"telephone_number": "319-356-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIUDAHL",
"first_name": "ADAM",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2017-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "MD-44350",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "HI",
"license": "MDR-6341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.