Individual provider Active NPI

Adam Alexander Liudahl, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
National Provider Identifier
1295099075
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-44350 Issued in IA
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

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180618001073 IA Practitioner - Diagnostic Radiology 3072755149 Reassigns benefits to 4 organizations

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
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
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

LicenseStateTypeSpecialty
MD-44350IAMDDiagnostic Radiology Physician
MDR-6341HIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines University Osteopathic Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 28, 2018 Accepting new patients
Des Moines University Osteopathic Medical Center Diagnostic Radiology CurrentSince Dec 1, 2023 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.