NPIMap

Individual provider Active NPI

Jeremy P Adler, MD

  • Family Medicine Physician
  • Lafayette, IN
National Provider Identifier
1881663946
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01056311A Issued in IN
Practice address
2525 South St
Lafayette, IN 47904-3028
Phone
(765) 807-2320
Fax
(765) 807-2330
NPI assigned
Mar 14, 2006
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01056311A IN Primary

Addresses

Primary practice location

2525 South St
Lafayette, IN 47904-3028

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000299 IN Practitioner - Family Practice 8729057328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 0244123362, 62 clinicians

Practice addresses (Care Compare)

3554 Promenade Pkwy
Suite F
Lafayette, IN 47909-8418
Phone (765) 471-9146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056311AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC CurrentSince Aug 1, 2004 Accepting new patients
Unity Healthcare LLC CurrentSince Aug 1, 2004 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

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

2525 South St
Lafayette, IN 47904
Phone (765) 807-2320

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

  • Direct secure messaging: jadler106967@direct.franciscanalliance.org
  • Direct secure messaging: jeremyadler@idx.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1881663946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043028",
            "telephone_number": "765-807-2320",
            "fax_number": "765-807-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JEREMY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01056311A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.