Individual provider Active NPI

David Isaac Glassman, D.O.

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
National Provider Identifier
1194799320
Registry record updated Jul 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3988 Issued in AZ
Practice address
4444 N 32ND St
Ste 220
Phoenix, AZ 85018-3956
Phone
(602) 747-7026
Fax
(602) 957-1997
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3988 AZ Primary

Addresses

Primary practice location

4444 N 32ND St
Ste 220
Phoenix, AZ 85018-3956

Mailing address

4444 N 32ND St
Ste 220
Phoenix, AZ 85018-3956
Phone (602) 747-7026

Other identifiers 3

IdentifierTypeStateIssuer
119117MedicaidAZ
Z110758OtherAZMEDICARE PTAN
Z151824OtherAZMEDICARE PTAN #2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20061005000130 AZ Practitioner - Obstetrics/Gynecology 3779589346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3988AZMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Obstetrics & Gynecology CurrentSince Oct 20, 2023 Accepting new patients
Fetal and Women's Center of Arizona, LLC PastSince Oct 20, 2023 Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

3805 E Bell Rd
Ste 4800
Phoenix, AZ 85032
Phone (602) 996-4747

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.glassman.2@20219.direct.athenahealth.com
  • Direct secure messaging: david.glassman@sgoap-az.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373673600000",
    "number": "1194799320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST",
            "address_2": "STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "602-747-7026",
            "fax_number": "602-957-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST",
            "address_2": "STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "602-747-7026",
            "fax_number": "602-957-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "DAVID",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "3988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119117",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z110758",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #2",
            "identifier": "Z151824",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.