Individual provider Active NPI

Glenn Thomas Orsak, M.D.

  • Family Medicine Physician
  • Friendswood, TX
National Provider Identifier
1174528822
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7827 Issued in TX
Practice address
300 E Edgewood Dr
Friendswood, TX 77546-3823
Phone
(281) 485-9034
Fax
(281) 485-9807
NPI assigned
Jun 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 J7827 TX Primary

Addresses

Primary practice location

300 E Edgewood Dr
Friendswood, TX 77546-3823

Mailing address

300 E Edgewood Dr
Friendswood, TX 77546-3823
Phone (281) 485-9034

Other identifiers 1

IdentifierTypeStateIssuer
J7827OtherTXSTATE LICENSE

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
I20080321000265 TX Practitioner - Family Practice 6204869670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orsak Medical AssociationGroup PAC ID 9537134242, 3 clinicians

Practice addresses (Care Compare)

300 E Edgewood Dr
Friendswood Family Medicine
Friendswood, TX 77546-3823
Phone 2814859034218

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7827TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orsak Medical Association Family Medicine CurrentSince Aug 15, 2005 Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations

300 E Edgewood Dr
Friendswood, TX 77546
Phone (281) 485-9034

3223 Broadway St
Pearland, TX 77581
Phone (281) 485-9034

3233 Broadway St
Pearland, TX 77581
Phone (281) 485-9034

Interoperability endpoints

  • Direct secure messaging: gorsak@ffm-tx.direct.office.nextgen.com

Organizations & group practices 3

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 7

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": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1174528822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E EDGEWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463823",
            "telephone_number": "281-485-9034",
            "fax_number": "281-485-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E EDGEWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463823",
            "telephone_number": "281-485-9034",
            "fax_number": "281-485-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSAK",
        "first_name": "GLENN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "J7827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.