Active NPI
Martin Glowacki, M.D.
- Interventional Pain Medicine Physician
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 4301080069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG080069 | Other | CHAMPUS-CHAMPUS | |
| MG080069 | Other | COMMERCIAL-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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Institute for Pain Management P.C. | Anesthesiology | Current | Accepting new patients |
Locations
6535 Rochester Rd
Ste 102
Troy, MI 48085
Phone (248) 813-0060
Interoperability endpoints
- mglowacki1130184@direct.hfhs.org
- 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.
-
- Interventional Pain Medicine Physician
- Troy, MI
- NPI 1942496443
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.