Individual provider Active NPI

Glendon Alan Hyde, MD

  • Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1043653900
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
59417 Issued in TN
Practice address
979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187
Phone
(423) 267-0466
NPI assigned
Apr 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 59417 TN
Surgery Physician 208600000X 59417 TN Primary

Addresses

Primary practice location

979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187

Mailing address

979 E 3Rd St Ste 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Other practice location 1

1635 Gunbarrel Rd Ste 210
Chattanooga, TN 37421-4985
Phone (423) 267-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200724002076 TN Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 3971927880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
University of Tennessee, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates, PLLCGroup PAC ID 0547242521, 27 clinicians

Practice addresses (Care Compare)

979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2187
Phone (423) 267-0466

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104
  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, PLLC Surgery CurrentSince Aug 1, 2020 Accepting new patients

Locations

1635 Gunbarrel Rd
Ste 210
Chattanooga, TN 37421

2108 E 3rd St
Ste 200
Chattanooga, TN 37404

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

Interoperability endpoints

  • Direct secure messaging: glendon.hyde.1@33371.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1043653900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032187",
            "telephone_number": "423-267-0466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Gunbarrel Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214985",
            "country_code": "US",
            "telephone_number": "423-267-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "GLENDON",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "59417",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "59417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.