Active NPI
Michael Wyatt Glass, M.D.
- Diagnostic Radiology Physician
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 04-44773
- Practice address
- 719 S Kansas Ave Ste 250
Topeka, KS 66603-3807 - Phone
- (785) 234-3451
- NPI assigned
- May 27, 2016
- Last updated
- May 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A200156 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 04-44773 | KS | Primary |
Addresses
Primary practice location
719 S Kansas Ave Ste 250
Topeka, KS 66603-3807
Mailing address
719 S Kansas Ave Ste 250
Topeka, KS 66603-3807
Phone (785) 273-1720
Other practice location 1
250 Cherry Ln Ste 116
Manteca, CA 95337-4398
Phone (209) 647-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, CA
- 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
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580
1052 Heinz Ranch CT
Pleasanton, CA 94566-2140
Phone (209) 647-2184
1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 762-5140
1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116
1201 W 12TH Ave
Emporia, KS 66801-2504
Phone 62034368002107
1205 E N St
Manteca, CA 95336-4932
Phone (209) 647-2184
1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 647-2184
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111
1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000
1500 SW 10TH Ave
Stormont Vail Hospital
Topeka, KS 66604-1301
Phone (785) 354-6000
1600 Community Dr
Seneca, KS 66538-9739
Phone (866) 264-3435
1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8887
27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (209) 647-2184
3327 SW 44TH St
Topeka, KS 66610-1712
Phone (510) 264-4000
500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000
535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2177
729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068
75 Nielson St
Watsonville Community Hospital
Watsonville, CA 95076-2468
Phone (831) 724-4741
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A200156 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Central Valley Imaging Medical Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Lodi Memorial Hospital Association Inc | Current | Accepting new patients | |
| Pleasanton Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Lodi Memorial Hospital Association, Inc | Current | Accepting new patients | |
| Delta Radiology, Inc. | Current | Accepting new patients | |
| Pleasanton Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Delta Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients | |
| Delta Sierra Medical Group, Inc | Past | Accepting new patients | |
| Tuhc Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422
2407 W Vine St
Lodi, CA 95242
Phone (209) 333-3056
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
520 W I St
Los Banos, CA 93635
Phone (209) 724-0316
1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684
1401 Spanos Ct
Ste 127
Modesto, CA 95355
Phone (209) 525-3835
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018
75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
901 SW Garfield Ave
Topeka, KS 66606
Interoperability endpoints
- mglass371081@ahs.direct-ci.com
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cotton O'Neil
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Diagnostic Radiology Physician
- Manteca, CA
- NPI 1275523169
KS
-
dba San Joaquin General Hospital
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
dba Lodi Memorial Community Clinic - Iris
- Primary Care Clinic/Center
- Lodi, CA
- NPI 1861649352
-
- Diagnostic Radiology Physician
- Topeka, KS
- NPI 1699733162
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
dba Stormont Vail Health DME
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Orthopaedic Surgery Physician
- Lodi, CA
- NPI 1134769086
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Newman Regional Health
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
-
dba Newman Express Care
- Urgent Care Clinic/Center
- Emporia, KS
- NPI 1922306729
Hospital
-
dba Holton Community Hospital
- Critical Access Hospital
- Holton, KS
- NPI 1902805716
-
dba Stormont Vail Health Flint Hills
- General Acute Care Hospital
- Junction City, KS
- NPI 1679280192
-
dba Stormont Vail Hospital
- General Acute Care Hospital
- Topeka, KS
- NPI 1194782409
-
dba The University of Kansas Health System, St. Francis Campus
- General Acute Care Hospital
- Topeka, KS
- NPI 1912423260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1336597582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 S KANSAS AVE STE 250",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666033807",
"telephone_number": "785-273-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 S KANSAS AVE STE 250",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666033807",
"telephone_number": "785-234-3451"
}
],
"practiceLocations": [
{
"address_1": "250 Cherry Ln Ste 116",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953374398",
"country_code": "US",
"telephone_number": "209-647-2184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASS",
"first_name": "MICHAEL",
"middle_name": "WYATT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A200156",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-44773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.