Individual provider Active NPI

Laura Adler, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1912986498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20279 Issued in AZ
Practice address
12635 N 42ND St
Phoenix, AZ 85032-7601
Phone
(602) 494-5500
NPI assigned
Jan 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20279 AZ Primary

Addresses

Primary practice location

12635 N 42ND St
Phoenix, AZ 85032-7601

Mailing address

12635 N 42ND St
Phoenix, AZ 85032-7601
Phone (602) 494-5500

Other identifiers 1

IdentifierTypeStateIssuer
171348MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050622001314 AZ Practitioner - Internal Medicine 3779528427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20279AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 13, 1991 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 13, 1991 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients

Locations

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

12635 N 42nd St
Phoenix, AZ 85032
Phone (602) 494-5500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

Organizations & group practices 5

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912986498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12635 N 42ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327601",
            "telephone_number": "602-494-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12635 N 42ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327601",
            "telephone_number": "602-494-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "20279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.