Individual provider Active NPI

Richard Ader, M.D.

  • Cardiovascular Disease Physician
  • Parma, OH
National Provider Identifier
1336175496
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35044285 Issued in OH
Practice address
6525 Powers Blvd
Suite 301
Parma, OH 44129-5461
Phone
(440) 882-0075
Fax
(440) 882-2092
NPI assigned
Jun 23, 2006
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35044285 OH Primary

Addresses

Primary practice location

6525 Powers Blvd
Suite 301
Parma, OH 44129-5461

Mailing address

6525 Powers Blvd
Suite 301
Parma, OH 44129-5461
Phone (440) 882-0075

Other identifiers 3

IdentifierTypeStateIssuer
000000130050OtherOHATHEM BC/BS
0429218MedicaidOH
060054638OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35044285OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parma Community General Hospital Association PastSince Sep 1, 2004 Accepting new patients

Organizations & group practices 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1336175496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 POWERS BLVD",
            "address_2": "SUITE 301",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295461",
            "telephone_number": "440-882-0075",
            "fax_number": "440-882-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 POWERS BLVD",
            "address_2": "SUITE 301",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295461",
            "telephone_number": "440-882-0075",
            "fax_number": "440-882-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADER",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35044285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM BC/BS",
            "identifier": "000000130050",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060054638",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.