Individual provider Active NPI

Adam N Glaser, M.D.

  • Internal Medicine Physician
  • Tualatin, OR
National Provider Identifier
1346536299
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD164199 Issued in OR
Practice address
6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762
Phone
(503) 272-8825
Fax
(503) 427-9321
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD164199 OR Primary

Addresses

Primary practice location

6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762

Mailing address

6485 SW Borland Rd Ste B
Tualatin, OR 97062-9762
Phone (503) 272-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20140604001222 OR Practitioner - Internal Medicine 1355581067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tualatin Internal MedicineGroup PAC ID 6608140397, 3 clinicians

Practice addresses (Care Compare)

6485 SW Borland Rd
Suite B
Tualatin, OR 97062-9762
Phone (503) 272-8825

Hospital & facility affiliations

  • First Call Home Health Agency, LLC Home health agency, Salem, OR, CCN 387147
  • First Call Hospice LLC Hospice, Salem, OR, CCN 381589
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD164199ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tualatin Internal Medicine Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

6485 SW Borland Rd
Ste B
Tualatin, OR 97062
Phone (503) 272-8825

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Call Hospice LLCSalem, OR, CCN 381589 Hospice W-2 Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1346536299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-272-8825",
            "fax_number": "503-427-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-272-8825",
            "fax_number": "503-427-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "ADAM",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD164199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.