Organization Active NPI

Richard D Adelman MD

  • Sports Medicine (Family Medicine) Physician
  • Raleigh, NC
National Provider Identifier
1720051154
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
RICHARD D ADELMAN MD
Practice address
7320 Six Forks Rd
Ste 260
Raleigh, NC 27615
Phone
(919) 846-9292
Fax
(919) 848-3638
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Richard D Adelman, MDNPI 1104832534
Title
Owner
Phone
(919) 846-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X NC Primary

Addresses

Primary practice location

7320 Six Forks Rd
Ste 260
Raleigh, NC 27615

Mailing address

7320 Six Forks Rd
Ste 260
Raleigh, NC 27615-5284
Phone (919) 846-9292

Other identifiers 2

IdentifierTypeStateIssuer
8910394MedicaidNC
10394OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000231 NC Part B Supplier - Clinic/Group Practice 6507913746 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

7320 Six Forks Rd
Ste 260
Raleigh, NC 27615
Phone (919) 846-9292

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHGDAA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1720051154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SIX FORKS RD",
            "address_2": "STE 260",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155284",
            "telephone_number": "919-846-9292",
            "fax_number": "919-848-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 SIX FORKS RD",
            "address_2": "STE 260",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-846-9292",
            "fax_number": "919-848-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D ADELMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "ADELMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-846-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910394",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "10394",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.