Gleb Gluhovsky, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1500876 Issued in KS

Practice address

10500 Quivira Rd
Overland Park, KS 66215-2373

Phone

(913) 541-5340

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Medicine Services of KS, PA

  • Emergency Medicine Physician
  • Overland Park, KS
  • NPI 1649979451
  Medicare reassignment
• Emergency Medicine Services of Mo, LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1023715182
  Medicare reassignment
• Emergency Physicians of Manhattan, LLC

  • Emergency Medicine Physician
  • Manhattan, KS
  • NPI 1477521474
  NPD (past)
• The Covenant Group PA

  • Emergency Medicine Physician
  • Kansas City, KS
  • NPI 1306814389
  NPD (past)
• Mo-I Medical Services LLC

  • Emergency Medicine Physician
  • Clinton, MO
  • NPI 1063834372
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1285716613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24051 W 121ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616231",
            "telephone_number": "913-486-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152373",
            "telephone_number": "913-541-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUHOVSKY",
        "first_name": "GLEB",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "1500876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gleb.gluhovsky@envisionhealth.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Envision Physician Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work E-mail",
            "address_1": "10500 Quivira Rd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gleb.gluhovsky@envisionhealth.com",
            "affiliation": "Y",
            "endpointDescription": "work e-mail",
            "affiliationName": "Envision Physician Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work E-mail",
            "address_1": "10500 Quivira Rd",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662152373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenn V. Hemberger, DDS, Ms, CHTD
• Janet Annette Glenski Peterson, MA, ATR-BC, LPC,LCPC
• Susan Gliesman, OTR
• Elizabeth Gloe
• Carrie Glover
• Janos Glynn, LPC
• Kimberlee C Gnoinski, PA-C
• Goddard Medical, LLC
• Maria Sheelene Goddard, M.D.
• Cheyanne Rose Godwin

• Medical Physician Assistant in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.