Active NPI
Adrian L Palar, MD
- Family Medicine Physician
- Nevada, IA
National Provider Identifier
1952374811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31217
- Practice address
- 640 S 19TH St Ste 100
Nevada, IA 50201 - Phone
- (515) 382-5413
- Fax
- (515) 382-7107
- NPI assigned
- Feb 10, 2006
- Last updated
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31217 | IA | Primary |
Addresses
Primary practice location
640 S 19TH St Ste 100
Nevada, IA 50201
Mailing address
640 S 19TH St Ste 100
Nevada, IA 50201-2902
Phone (515) 382-5413
Other practice location 1
403 1st St
Maxwell, IA 50161-7700
Phone (515) 387-8815
Other practice location 2
640 S 19th St
Nevada, IA 50201-2902
Phone (515) 382-2111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0634600 | Medicaid | IA | |
| 06163 | Other | WELLMARK BCBS | |
| 0138131 | Medicaid | IA | |
| 54431 | Other | WELLMARK BCBS | |
| 05753 | Other | WELLMARK BCBS | |
| 1138131 | Medicaid | IA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31217 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Story County Hospital | 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.
-
dba Story Medical Clinic - Zearing
- Rural Health Clinic/Center
- Zearing, IA
- NPI 1134192750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1952374811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S 19TH ST STE 100",
"city": "NEVADA",
"state": "IA",
"postal_code": "502012902",
"telephone_number": "515-382-5413",
"fax_number": "515-382-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S 19TH ST STE 100",
"city": "NEVADA",
"state": "IA",
"postal_code": "50201",
"telephone_number": "515-382-5413",
"fax_number": "515-382-7107"
}
],
"practiceLocations": [
{
"address_1": "403 1st St",
"address_purpose": "LOCATION",
"city": "Maxwell",
"state": "IA",
"postal_code": "501617700",
"country_code": "US",
"telephone_number": "515-387-8815",
"fax_number": "515-387-8817",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "640 S 19th St",
"address_purpose": "LOCATION",
"city": "Nevada",
"state": "IA",
"postal_code": "502012902",
"country_code": "US",
"telephone_number": "515-382-2111",
"fax_number": "515-382-7760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALAR",
"first_name": "ADRIAN",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "31217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0634600",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "06163",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0138131",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "54431",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "05753",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1138131",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.