Individual provider Active NPI

Andrew Lawrence Glerum, DO

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1053985523
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.69263 Issued in CO
Practice address
4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801
Phone
(303) 649-3155
Fax
(303) 649-3156
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 DR.69263 CO Primary

Addresses

Primary practice location

4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801

Mailing address

4344 Woodlands Blvd Ste 260
Castle Rock, CO 80104-2801
Phone (303) 649-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241114004314 CO Practitioner - Family Practice 5890229603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

4344 Woodlands Blvd
260 CMG Primary Care Woodlands
Castle Rock, CO 80104-2801
Phone (303) 649-3155

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Sep 22, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 22, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4344 Woodlands Blvd
Ste 260
Castle Rock, CO 80104
Phone (303) 649-3155

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Interoperability endpoints

  • Direct secure messaging: aglerum3957057@adventhealth.direct-ci.com

Organizations & group practices 4

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 8

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": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1053985523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-649-3155",
            "fax_number": "303-649-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 260",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-649-3155",
            "fax_number": "303-649-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLERUM",
        "first_name": "ANDREW",
        "middle_name": "LAWRENCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.69263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.