PHILIP A ADLER MD
NPI 1801814249
Radiology - Diagnostic Radiology in New Hyde Park, NY

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2800 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 622-6100(516) 622-6111 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2025, Jul 10, 2025 (2 updates tracked since 2025).

About Philip A Adler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP A ADLER MD (NPI 1801814249) is an individual diagnostic radiology provider in New Hyde Park, New York, licensed in New York (265228) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1994).

NPPES Registry Identity

NPI1801814249
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePHILIP A ADLERCredential: MD
Location Address2800 MARCUS AVENew Hyde Park, NY 11042-1113
Mailing Address11800 E Twelve Mile RoadWarren, MI 48093 · (586) 573-5060 · Fax (586) 573-5197
Fax(516) 622-6111
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1994
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1801814249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NY · 265228✔ Licensed in MI · 4301063585✔ Licensed in CT · 54888
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2800 MARCUS AVE, New Hyde Park, NY 11042

Other Identifiers 1

Medicaid4114144MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip A Adler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022907062
PECOS Enrollment IDI20040315001278, I20240313001870, I20241016001508, I20260218004363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

13

Medicare enrollment records show Philip Adler reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York and Michigan enrollments
  • Also billed through NPI 1053688572 (Michigan)
  • 9,353 clinicians in this Medicare group
Body Imaging
1220 HICKSVILLE RD
Seaford, NY 11783
  • Reassigned Medicare billing, Michigan and New York enrollments
Internal Medicine
139 CENTRE ST STE 711
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • 284 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
Diagnostic Radiology
95 HIGHLAND AVE, SUITE 130
Bethlehem, PA 18017
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
Vascular & Interventional Radiology
29201 TELEGRAPH RD STE 450
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
Diagnostic Radiology
5463 ELIZABETH LAKE RD
Waterford, MI 48327
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group
Diagnostic Radiology
501 S BALLENGER HWY, SUITE B
Flint, MI 48532
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
Diagnostic Radiology
960 RINEHART RD STE 1000
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida and Michigan enrollments
  • 433 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 77

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,375 services858 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
248 services234 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
209 services192 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
132 services118 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
105 services100 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
101 services98 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2800 MARCUS AVE, SUITE 205
NEW HYDE PARK, NY 11042
Physical Therapist
2800 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Geriatric Medicine)
2800 MARCUS AVE, SUITE 200
NEW HYDE PARK, NY 11042
Otolaryngology
2800 MARCUS AVE
NEW HYDE PARK, NY 11042
Radiology (Vascular & Interventional Radiology)
2800 MARCUS AVE
LAKE SUCCESS, NY 11042
Anesthesiology
2800 MARCUS AVE
NEW HYDE PARK, NY 11042
Anesthesiology
2800 MARCUS AVE
NEW HYDE PARK, NY 11042
Internal Medicine (Geriatric Medicine)
2800 MARCUS AVE
NEW HYDE PARK, NY 11042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Adler's NPI number?

The NPI number for Philip Adler is 1801814249. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Philip Adler located?

Philip Adler practices at 2800 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 622-6100.

What is Philip Adler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Adler enrolled in Medicare?

Yes. Philip Adler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Philip Adler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Adler reassigns Medicare benefits to 13 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Southside Faculty Medical Affiliates University Faculty Practice Corp (Seaford, NY), Chinatown True Care Medical PLLC (New York, NY), Optum Medical Care, P.C. (Mount Kisco, NY), Nuvance Health Medical Practice PC (Poughkeepsie, NY) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Adler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Adler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Philip Adler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Adler affiliated with any hospitals?

According to CMS data, Philip Adler is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Putnam Hospital Center, St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Philip Adler was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.