Individual provider Active NPI

Glenn S Freed, DO

  • Gastroenterology Physician
  • Pottsville, PA
National Provider Identifier
1407841067
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS004145L Issued in PA
Practice address
100 Schuylkill Medical PLZ
Ste 101
Pottsville, PA 17901-3663
Phone
(570) 366-4606
Fax
(866) 735-4585
NPI assigned
Sep 20, 2005
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS004145L PA Primary

Addresses

Primary practice location

100 Schuylkill Medical PLZ
Ste 101
Pottsville, PA 17901-3663

Mailing address

128 W 14TH St
Hazleton, PA 18201-3266
Phone (570) 366-4606

Other names 1

  • Dr. Glenn S Freed Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050207000517 PA Practitioner - Gastroenterology 8921059049 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Philadelphia College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS004145LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. Gastroenterology CurrentSince Jan 14, 2019 Accepting new patients
Digestive Care Associates PC Gastroenterology CurrentSince Aug 10, 2015 Accepting new patients
St. Luke's Physician Group Inc CurrentSince Oct 16, 2011 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 3, 2025 Accepting new patients
Pinnacle Health Medical Services Gastroenterology CurrentSince May 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 3, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 14, 2019 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Pinnacle Health Medical Services CurrentSince May 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 16, 2011 Accepting new patients
Steward Medical Group Inc. Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

41 Community Dr
Easton, PA 18045
Phone (610) 252-8037

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

310 Stock St
Ste 8
Hanover, PA 17331
Phone (717) 316-3030

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2501 Shenango Valley Fwy
Ste 3
Hermitage, PA 16148
Phone (724) 983-0223

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: gfreed334107@direct2.lvhn.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1407841067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 14TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182013266",
            "telephone_number": "570-366-4606",
            "fax_number": "866-735-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SCHUYLKILL MEDICAL PLZ",
            "address_2": "STE 101",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013663",
            "telephone_number": "570-366-4606",
            "fax_number": "866-735-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "GLENN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "OS004145L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENN",
            "last_name": "FREED",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.