Kyle Glasser

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

46157 Issued in AL

Practice address

1020 26TH St S
Birmingham, AL 35205-2412

Phone

(205) 332-3155

Fax

(866) 644-8086

NPI assigned

Apr 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

AnesthesiologyAlso: Pain Management

Education

Morehouse School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southside Pain Specialists, PCGroup PAC ID 0648355016, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2264/brand/1/csg/1/fhir/r4
• Direct secure messaging: kyle.glasser.1@2264.direct.athenahealth.com

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.

• Southside Pain Specialists, PC

  dba Southside Pain Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1558546994
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1255894119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 26TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052412",
            "telephone_number": "205-332-3155",
            "fax_number": "866-644-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 26TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052412",
            "telephone_number": "205-332-3155",
            "fax_number": "866-644-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300B Bridge Creek Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350551300",
            "country_code": "US",
            "telephone_number": "256-841-0800",
            "fax_number": "833-908-2254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSER",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "46157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Grace Glass
• Katherine Ann Glass
• Rachel Glass
• Richard Wallace Glass, SA (PA)
• Steven Benjamin Glass
• Stephen Paul Glasser, MD
• Kayla R Glaves, CRNA
• Lashera A Glaze
• Shannon Deann Glaze, CRNP
• Brian Gleason

• Pain Medicine (Anesthesiology) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pain Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.