Charles E. Glass, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

044810 Issued in CT

Practice address

96A Broad St
Guilford, CT 06437-2635

Phone

(203) 453-3621

Fax

(203) 453-4501

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

Virginia Commonwealth University, School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale New Haven Health - Health at Home Home health agency, Milford, CT, CCN 077143
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022
• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Internal Medicine of Guilford LLC

  • Internal Medicine Physician
  • Guilford, CT
  • NPI 1457688020
  Medicare reassignment NPD Authorized official
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  • Home Health Agency
  • New Haven, CT
  • NPI 1043217482
  Care Compare affiliation
• Yale New Haven Health at Home, Inc.

  • Home Health Agency
  • Milford, CT
  • NPI 1407932056
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1184613705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96A BROAD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372635",
            "telephone_number": "203-453-3621",
            "fax_number": "203-453-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96A BROAD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372635",
            "telephone_number": "203-453-3621",
            "fax_number": "203-453-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "044810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR PRIVATE SOLO PRACTICE: INTERNAL MEDICINE OF GUILFORD LLC NPI",
            "identifier": "1457688020",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah S Gerritz, MD
• Christina Giebisch, LCSW
• Damien Joseph Gietzen, OD
• Susan Ginsburg, PT,MS
• Daniela Koksch Giordano
• Kathryn Glazer, DMD
• Gloria Small, PHD. PC
• Jonathan Goldfarb, DPT
• Emily Louise Golubowski, LPC-A
• Sarah Gomes, BCBA

• Internal Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.

Verify at the official NPI Registry.