Individual provider Active NPI

Martin Glowacki, M.D.

  • Interventional Pain Medicine Physician
  • Troy, MI
National Provider Identifier
1083716377
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
4301080069 Issued in MI
Practice address
6535 Rochester Rd
Suite 102
Troy, MI 48085-1362
Phone
(248) 813-0060
Fax
(248) 813-0066
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 4301080069 MI Primary
Anesthesiology Physician 207L00000X 4301080069 MI

Addresses

Primary practice location

6535 Rochester Rd
Suite 102
Troy, MI 48085-1362

Mailing address

6535 Rochester Rd
Suite 102
Troy, MI 48085-1362
Phone (248) 813-0060

Other identifiers 2

IdentifierTypeStateIssuer
MG080069OtherCHAMPUS-CHAMPUS
MG080069OtherCOMMERCIAL-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061101000586 MI Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 6002813136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Institute for Pain Management P.C.Group PAC ID 7911087465, 4 clinicians

Practice addresses (Care Compare)

6535 Rochester Rd
Suite 102
Troy, MI 48085-1362
Phone 24881300602

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as individual
Quality
77.23
Promoting interoperability
99
Improvement activities
40
Cost
74.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Institute for Pain Management P.C. Anesthesiology CurrentSince Jan 1, 2008 Accepting new patients

Locations

6535 Rochester Rd
Ste 102
Troy, MI 48085
Phone (248) 813-0060

Interoperability endpoints

  • Direct secure messaging: mglowacki1130184@direct.hfhs.org
  • Direct secure messaging: martin.glowacki.1@10300.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 1

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1083716377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-813-0060",
            "fax_number": "248-813-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362",
            "telephone_number": "248-813-0060",
            "fax_number": "248-813-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "MARTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301080069",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301080069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "MG080069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MG080069",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.