Individual provider Active NPI

Sara Glassgow, D.O.

  • Surgery Physician
  • Bettendorf, IA
National Provider Identifier
1235343674
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO-04637 Issued in IA
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

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101104001555 IL Practitioner - Family PracticePractitioner - General SurgeryPractitioner - Peripheral Vascular Disease 6204020027 Reassigns benefits to 1 organization
I20231115002230 IA Practitioner - General Surgery 6204020027 Reassigns benefits to 1 organization

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
Vohra Wound Physicians of the West PCGroup PAC ID 5890931331, 17 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2422
Removal of skin lesions83
Skin biopsy1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-04637IAMDFamily Medicine Physician
036-126499ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Il, S.C. Family Medicine CurrentSince Jul 19, 2021 Accepting new patients
Vohra Wound Physicians of the West, P.C. Family Medicine CurrentSince Sep 2, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.