Individual provider Active NPI

Rebecca C Adlaka, MD

  • Pain Medicine Physician
  • Crown Point, IN
National Provider Identifier
1720082522
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
01049570 Issued in IN
Practice address
7280 W Lincoln Hwy
Crown Point, IN 46307-9526
Phone
(219) 864-9494
Fax
(219) 864-9595
NPI assigned
Jun 9, 2005
Last updated
Jun 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01049570 IN
Pain Medicine Physician 208VP0000X 01049570 IN Primary

Addresses

Primary practice location

7280 W Lincoln Hwy
Crown Point, IN 46307-9526

Mailing address

7280 W Lincoln Hwy
Crown Point, IN 46307-9526
Phone (219) 864-9494

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01049570INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Medical Center 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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1720082522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 W LINCOLN HWY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079526",
            "telephone_number": "219-864-9494",
            "fax_number": "219-864-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 W LINCOLN HWY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079526",
            "telephone_number": "219-864-9494",
            "fax_number": "219-864-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLAKA",
        "first_name": "REBECCA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01049570",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "01049570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.