Active NPI
Justin C Adler Jr., MD
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 9947
- Practice address
- 5959 Park Ave
Memphis, TN 38119 - Phone
- (901) 765-2731
- Fax
- (901) 765-2064
- NPI assigned
- Feb 28, 2006
- Last updated
- Jan 31, 2017
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 9947 | TN | Primary |
Addresses
Primary practice location
5959 Park Ave
Memphis, TN 38119
Mailing address
PO Box 1483
Indianapolis, IN 46206-1483
Phone (317) 663-6055
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06737859 | Medicaid | MS | |
| 102015001 | Medicaid | AR | |
| 3141500 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Tennessee, HSC, College of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Park Ave
Memphis, TN 38119-5200
Phone (801) 765-2731
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Memphis, TN
- NPI 1679547749
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
dba Northwest Mississippi Regional Medical Center
- General Acute Care Hospital
- Clarksdale, MS
- NPI 1275217606
-
dba Bolivar Medical Center
- General Acute Care Hospital
- Cleveland, MS
- NPI 1457321036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1427024397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1483",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462061483",
"telephone_number": "317-663-6055",
"fax_number": "317-663-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 PARK AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-765-2731",
"fax_number": "901-765-2064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "JUSTIN",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "9947",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06737859",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102015001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3141500",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.