Jeremy P Adler, MD
Individual provider Active NPI Family Medicine Physician · Lafayette, IN
NPI 1881663946 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1881663946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01056311A (IN)
- Practice address
- 2525 South St
Lafayette, IN 47904-3028 - Phone
- (765) 807-2320
- Fax
- (765) 807-2330
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Unity Healthcare LLC
Practice addresses (Care Compare)
3554 Promenade Pkwy
Suite F
Lafayette, IN 47909-8418
Phone (765) 471-9146
Hospital & facility affiliations
- Franciscan Home Care
- Elara Caring
- Physiocare Home Healthcare LLC
- Franciscan Health Lafayette
- Indiana University Health Arnett Hospital
- Franciscan Health Rensselaer, Inc
- Franciscan Health Crawfordsville
- Indiana University Health White Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040930000299 | IN | Practitioner - Family Practice | 8729057328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056311A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare LLC | Current |
Accepting new patients | |
| Unity Healthcare, LLC | Current |
Accepting new patients | |
| Unity Healthcare, LLC | Family Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Unity Healthcare, LLC | Family Medicine | Past | Accepting new patients |
| Unity Healthcare LLC | Past | Accepting new patients |
Locations
2525 South St
Lafayette, IN 47904
Phone (765) 807-2320
1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065
3554 Promenade Pkwy
Ste F
Lafayette, IN 47909
Phone (765) 471-9146
152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556
Interoperability endpoints
- jadler106967@direct.franciscanalliance.org
- jeremyadler@idx.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01056311A | IN | Yes |
Addresses
Primary practice location
2525 South St
Lafayette, IN 47904-3028
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200271940 | Medicaid | IN | |
| P00140459 | Other | IN | RAILROAD MEDICARE |
Other providers in Lafayette, IN
- Sara Adams
- Scott E Adams
- Alexander Martin-Snider Ade
- Ramesh Adhikari
- Miranda Adkins
- Patrick D Adsit
- Advanced Physical Therapy, LLC
- Advanced Surgery Center, LLC
- Affordable Dentures & Implants - Lafayette III, P.C.
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All providers in Lafayette, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.