Active NPI
Glenroy Heywood, MD
- Surgery Physician
- Albuquerque, NM
National Provider Identifier
1386665529
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2001-214
- Practice address
- 4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4497 - Phone
- (505) 227-9737
- NPI assigned
- Jul 22, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2001-214 | TX | |
| Surgery Physician | 208600000X | 2001-214 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4497
Mailing address
4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4497
Phone (505) 227-9737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001-214 | NM | MD | Surgery Physician |
| 2001-214 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Oncology and Gastrointestinal Surgery Consultants, LLC | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Albuquerque, NM
- NPI 1477095966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1386665529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"address_2": "SUITE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094497",
"telephone_number": "505-227-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"address_2": "SUITE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094497",
"telephone_number": "505-227-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWOOD",
"first_name": "GLENROY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "2001-214",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "2001-214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.