Active NPI
Robert Stephen Adelaar, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Richmond, VA
National Provider Identifier
1598709677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 0101027258
- Practice address
- 1200 E Broad St
MCV Station Box 980153
Richmond, VA 23298-5058 - Phone
- (804) 828-9296
- Fax
- (804) 828-4762
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 22, 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 |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 0101027258 | VA | Primary |
Addresses
Primary practice location
1200 E Broad St
MCV Station Box 980153
Richmond, VA 23298-5058
Mailing address
1200 E Broad St
MCV Station Box 980153
Richmond, VA 23298-5058
Phone (804) 828-9296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180405002482 | VA | Order and Referring Only - Orthopedic Surgery | 5991604415 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101027258 | VA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1598709677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E BROAD ST",
"address_2": "MCV STATION BOX 980153",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985058",
"telephone_number": "804-828-9296",
"fax_number": "804-828-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E BROAD ST",
"address_2": "MCV STATION BOX 980153",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985058",
"telephone_number": "804-828-9296",
"fax_number": "804-828-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELAAR",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "VA",
"license": "0101027258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.