Individual provider Active NPI

Glen Michael Wool, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1265598593
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G50570 Issued in CA
Practice address
300 S Beverly Dr
Suite #108
Beverly Hills, CA 90212-4808
Phone
(310) 556-7991
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G50570 CA Primary

Addresses

Primary practice location

300 S Beverly Dr
Suite #108
Beverly Hills, CA 90212-4808

Mailing address

300 S Beverly Dr
Suite #108
Beverly Hills, CA 90212-4808
Phone (310) 556-7991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100217000740 CA Practitioner - Internal Medicine 0840334678 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Beverly Dr
Suite 108
Beverly Hills, CA 90212-4804
Phone (310) 556-7991

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50570CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashraf Elsayegh MD a Professional Corporation PastSince Jun 25, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gwool169906@direct.cshs.org

Organizations & group practices 1

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.

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1265598593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR",
            "address_2": "SUITE #108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124808",
            "telephone_number": "310-556-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BEVERLY DR",
            "address_2": "SUITE #108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124808",
            "telephone_number": "310-556-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOL",
        "first_name": "GLEN MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.