Active NPI
Sara Glassgow, D.O.
- Surgery Physician
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DO-04637
- Practice address
- 2730 Crow Creek Rd
Bettendorf, IA 52722-2066 - Phone
- (954) 399-4673
- Fax
- (815) 454-2832
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-04637 | IA | |
| Family Medicine Physician | 207Q00000X | 036-126499 | IL | |
| Surgery Physician | 208600000X | 036-126499 | IL | |
| Surgery Physician | 208600000X | DO-04637 | IA | Primary |
Addresses
Primary practice location
2730 Crow Creek Rd
Bettendorf, IA 52722-2066
Mailing address
3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314
Phone (954) 399-4673
Other practice location 1
7370 W Talcott Ave
Chicago, IL 60631-3751
Phone (954) 399-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2730 Crow Creek Rd
Bettendorf, IA 52722-2066
Phone (877) 866-7123
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 2422 |
| Removal of skin lesions | 83 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-04637 | IA | MD | Family Medicine Physician |
| 036-126499 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of Il, S.C. | Family Medicine | Current | Accepting new patients |
| Vohra Wound Physicians of the West, P.C. | Family Medicine | Current | Accepting new patients |
Locations
3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951
2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463
7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348
Interoperability endpoints
- https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1790080505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1235343674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 SW 160TH AVE STE 250",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330276314",
"telephone_number": "954-399-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 CROW CREEK RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527222066",
"telephone_number": "954-399-4673",
"fax_number": "815-454-2832"
}
],
"practiceLocations": [
{
"address_1": "7370 W Talcott Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606313751",
"country_code": "US",
"telephone_number": "954-399-4673",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASSGOW",
"first_name": "SARA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-04637",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-126499",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-126499",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "DO-04637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.