Individual provider Active NPI

Robert Stephen Adelaar, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Richmond, VA
National Provider Identifier
1598709677
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
0101027258 Issued in VA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405002482 VA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 5991604415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101027258VAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians PastSince Sep 28, 2021 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

Verify at the official NPI Registry.