Individual provider Active NPI

Loren A Adelman, DPM

  • Podiatrist
  • Highland Park, IL
National Provider Identifier
1508844770
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016 003793 Issued in IL
Practice address
1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297
Phone
(847) 433-3460
Fax
(847) 433-4062
NPI assigned
Jan 6, 2006
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016 003793 IL Primary

Addresses

Primary practice location

1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297

Mailing address

1777 Green Bay Rd
Ste 201
Highland Park, IL 60035-3297
Phone (847) 433-3460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ladelman231554@direct.northshore.org

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

State licenses

LicenseStateTypeSpecialty
016 003793ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry R. Goldberg, M.D. LLC Past Accepting new patients
Essential Health Chiropractic, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ladelman231554@direct.northshore.org

Organizations & group practices 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1508844770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "STE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 GREEN BAY RD",
            "address_2": "STE 201",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353297",
            "telephone_number": "847-433-3460",
            "fax_number": "847-433-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "LOREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016 003793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ladelman231554@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1777 Green Bay Rd",
            "address_2": "Ste 201",
            "city": "Highland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600353297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.