NPIMap

Individual provider Active NPI

Adam Herz Juviler, M.D.

  • Colon & Rectal Surgery Physician
  • Spokane, WA
National Provider Identifier
1396792073
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD00044600 Issued in WA
Practice address
9922 N Nevada St
Spokane, WA 99218-1126
Phone
(509) 747-6194
Fax
(509) 838-0824
NPI assigned
May 28, 2006
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00044600 WA
Colon & Rectal Surgery Physician 208C00000X MD00044600 WA Primary

Addresses

Primary practice location

9922 N Nevada St
Spokane, WA 99218-1126

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (866) 747-2455

Other identifiers 3

IdentifierTypeStateIssuer
1009436MedicaidWA
0305788OtherWALABOR & INDISTRIES
P01172762OtherWARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060619000243 WA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4880606623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9922 N Nevada St
Spokane, WA 99218-1126
Phone (509) 747-6194

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044600WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Aug 8, 2022 Accepting new patients
Providence Health & Services Washington CurrentSince Aug 8, 2022 Accepting new patients
Columbia Surgical Specialists, PS Surgery CurrentSince Jan 1, 2013 Accepting new patients
Columbia Surgical Specialists, PS CurrentSince Jan 1, 2013 Accepting new patients
Surgical Specialists of Spokane Surgery Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

105 W 8th Ave
Ste 7010
Spokane, WA 99204
Phone (509) 353-3901

105 W 8th Ave
Ste 7060
Spokane, WA 99204
Phone (509) 474-5437

217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326

9922 N Nevada St
Spokane, WA 99218
Phone (509) 624-2326

Interoperability endpoints

  • Direct secure messaging: ajuviler350889@direct.multicare.org

Organizations & group practices 8

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 3

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1396792073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "866-747-2455",
            "fax_number": "509-227-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181126",
            "telephone_number": "509-747-6194",
            "fax_number": "509-838-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUVILER",
        "first_name": "ADAM",
        "middle_name": "HERZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00044600",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "WA",
            "license": "MD00044600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009436",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDISTRIES",
            "identifier": "0305788",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01172762",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.