NPIMap

Individual provider Active NPI

Rommel Uy Adajar, MD

  • Internal Medicine Physician
  • Reno, NV
National Provider Identifier
1336168707
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15160 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-7878
Fax
(775) 982-4196
NPI assigned
Jul 18, 2006
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 36000 IA
Internal Medicine Physician 207R00000X 15160 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

780 Kuenzli St
Reno, NV 89502-0845
Phone (775) 982-5262

Other identifiers 3

IdentifierTypeStateIssuer
38552OtherIAWELLMARK BLUE CROSS BLUE
P00202301OtherIARR MEDICARE
0462598MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723006625 NV Practitioner - Internal Medicine 6305747486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt General HospitalGroup PAC ID 5193709798, shared by 5 NPIs, 41 clinicians

Practice addresses (Care Compare)

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (775) 623-5222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36000IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt General Hospital CurrentSince Jun 6, 2024 Accepting new patients
Humboldt General Hospital Current Accepting new patients
Humboldt General Hospital Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
Valley-Wide Health Systems, Inc. Past Accepting new patients
Humboldt General Hospital Past Accepting new patients

Locations

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

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 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1336168707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020845",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAJAR",
        "first_name": "ROMMEL",
        "middle_name": "UY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "36000",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE",
            "identifier": "38552",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00202301",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462598",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.