Individual provider Active NPI

Geoffrey Paul Glebus, DO

  • Orthopaedic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1154555126
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R5728 Issued in TX
Practice address
21 Spurs LN Ste 300
San Antonio, TX 78240
Phone
(210) 699-8326
Fax
(210) 561-7121
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 02003799A IN
Orthopaedic Surgery Physician 207X00000X R5728 TX Primary

Addresses

Primary practice location

21 Spurs LN Ste 300
San Antonio, TX 78240

Mailing address

21 Spurs LN Ste 300
San Antonio, TX 78240-1679
Phone (210) 699-8326

Other practice location 1

36065 Sante Fe Ave
Dept of Orthopaedics
Fort Hood, TX 76544-5111
Phone (254) 288-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180628002894 TX Practitioner - Orthopedic Surgery 9133362825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine Associates of San Antonio PAGroup PAC ID 3274525548, 55 clinicians

Practice addresses (Care Compare)

12413 Judson Rd
Suite 100
Live Oak, TX 78233-3262
Phone 2106998326130

Hospital & facility affiliations

  • Provista Healthcare Home health agency, Dallas, TX, CCN 453177
  • Capitol Home Health Home health agency, San Antonio, TX, CCN 747928
  • Encompass Health Home Health Home health agency, Fredericksburg, TX, CCN 677951
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Legent Orthopedic + Spine Hospital, San Antonio, TX, CCN 670112
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003799AINMDOrthopaedic Surgery Physician
R5728TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Jun 28, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Sep 1, 2018 Accepting new patients
C H Wilkinson Physician Network Orthopaedic Surgery CurrentSince Jun 28, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA Orthopaedic Surgery CurrentSince Sep 1, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA Past Accepting new patients

Locations

112 Herff Rd
Ste 300
Boerne, TX 78006

1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

12500 Judson Rd
Ste 201
Live Oak, TX 78233
Phone (210) 314-1071

3303 Rogers Rd
Ste 205
San Antonio, TX 78251
Phone (210) 687-8015

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

1 Camino Santa Maria St
San Antonio, TX 78228
Phone (210) 431-5043

10622 State Highway 151
Ste 205
San Antonio, TX 78251

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 210
San Antonio, TX 78240
Phone (832) 621-0699

430 W Sunset Rd
Ste 440
San Antonio, TX 78209

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

Organizations & group practices 5

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 9

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1154555126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401679",
            "telephone_number": "210-699-8326",
            "fax_number": "210-561-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-699-8326",
            "fax_number": "210-561-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36065 Sante Fe Ave",
            "address_2": "Dept of Orthopaedics",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "765445111",
            "country_code": "US",
            "telephone_number": "254-288-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEBUS",
        "first_name": "GEOFFREY",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02003799A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.