Individual provider Active NPI

Samantha Soaad Glotfelty, MD

  • Family Medicine Physician
  • Saint James, MN
National Provider Identifier
1063157428
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79313 Issued in MN
Practice address
1101 Moulton & Parsons Dr
St James, MN 56081-0460
Phone
(507) 375-3391
NPI assigned
Apr 30, 2022
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GLOT-8HAPDL NC
Family Medicine Physician 207Q00000X 79313 MN Primary

Addresses

Primary practice location

1101 Moulton & Parsons Dr
St James, MN 56081-0460

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

590 Manning Dr
Chapel Hill, NC 27599-6119
Phone (984) 974-0210

Other names 1

  • Samantha Soaad Elfanagely Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sglotfelty2531558@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250702004494 MN Practitioner - Family Practice 1355720194 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GLOT-8HAPDLNCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-St James CurrentSince Jun 23, 2025 Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients

Locations

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

Interoperability endpoints

  • Direct secure messaging: sglotfelty2531558@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: sglotfelty412454@directhisp.wakemed.org
  • Direct secure messaging: sglotfelty873628@direct.unc.nchie.net

Organizations & group practices 2

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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1063157428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MOULTON & PARSONS DR",
            "city": "ST JAMES",
            "state": "MN",
            "postal_code": "560810460",
            "telephone_number": "507-375-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Manning Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275996119",
            "country_code": "US",
            "telephone_number": "984-974-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOTFELTY",
        "first_name": "SAMANTHA",
        "middle_name": "SOAAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "GLOT-8HAPDL",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "79313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sglotfelty2531558@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1101 Moulton & Parsons Dr",
            "city": "St James",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560810460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ELFANAGELY",
            "middle_name": "SOAAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint James, MN

Sources for this page

Verify at the official NPI Registry.