Active NPI
Larry A Adler, M.D.
- Gastroenterology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 048783
- Practice address
- 5300 Elliott Dr
Ypsilanti, MI 48197-8632 - Phone
- (734) 434-6262
- Fax
- (734) 712-2820
- NPI assigned
- Jan 13, 2006
- Last updated
- Jan 14, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 048783 | MI | Primary |
Addresses
Primary practice location
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Mailing address
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003582 | Other | MI | MEDICARE RAILROAD PTAN |
| 4404026 | Other | MI | AETNA |
| 0H14989 | Other | MI | BCBS GROUP |
| 022067 | Other | MI | MIDWEST HEALTH PLAN |
| 0810209 | Other | MI | BCBS INDIVIDUAL |
| 2346967001 | Other | MI | CIGNA |
| 1985244 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048783 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
| St Mary Mercy Hospital Professional | Gastroenterology | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Huron Gastro Endoscopy Center LLC | Current | Accepting new patients | |
| St Mary Mercy Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Service Corporation | Gastroenterology | Current | Accepting new patients |
Locations
1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
20555 Victor Pkwy
#3A
Livonia, MI 48152
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
36650 5 Mile Rd
Livonia, MI 48154
Phone (734) 434-6262
36650 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 434-6262
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
5325 Elliott Dr
Ste 201
Ypsilanti, MI 48197
Phone (313) 434-6262
5333 McAuley Dr
Rm 2115
Ypsilanti, MI 48197
Phone (734) 712-3971
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Anesthesiology Physician
- Ypsilanti, MI
- NPI 1992041446
-
dba Huron Gastro Center for Digestive Care
- Ambulatory Surgical Clinic/Center
- Livonia, MI
- NPI 1689311938
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba St Joseph Mercy Academic Gastrointestinal Center
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1861069684
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1356320634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 ELLIOTT DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978632",
"telephone_number": "734-434-6262",
"fax_number": "734-712-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 ELLIOTT DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481978632",
"telephone_number": "734-434-6262",
"fax_number": "734-712-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "LARRY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "048783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "100003582",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4404026",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0H14989",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "022067",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "0810209",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2346967001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1985244",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.