Active NPI
Chris Glenn, MD
- Diagnostic Radiology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 8122
- Practice address
- 2741 Debarr Rd
Suite 401
Anchorage, AK 99508-2961 - Phone
- (907) 792-7975
- Fax
- (907) 792-7901
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G79975 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 8122 | AK | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 8122 | AK |
Addresses
Primary practice location
2741 Debarr Rd
Suite 401
Anchorage, AK 99508-2961
Mailing address
PO Box 140349
Anchorage, AK 99514-0349
Phone (907) 792-7975
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G799750 | Other | CA | BLUE SHIELD OF CA |
| 00G799750 | Medicaid | CA | |
| 1457315533 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150520000126 | AK | Practitioner - Diagnostic Radiology | 4385720317 | Reassigns benefits to 3 organizations |
| I20190701002182 | TX | Practitioner - Diagnostic Radiology | 4385720317 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.88 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79975 | CA | MD | Pharmacist |
| 8122 | AK | MD | Diagnostic Radiology Physician |
| G79975 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportation | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Medical Park Family Care, LLC | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| McKinley Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Valley Upright Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Anchorage Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| South Peninsula Hospital, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Salinas Valley Radiologists | Diagnostic Radiology | Past | Accepting new patients |
| Salinas Valley Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Open Air MRI Centers Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Salinas Valley Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Salinas Valley Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
2110 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508
Phone (907) 336-2273
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
2211 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 257-8176
3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654
Organizations & group practices 33
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.
-
- Critical Access Hospital
- Homer, AK
- NPI 1679566269
AK, Diagnostic Radiology
-
- Radiology Clinic/Center
- Anchorage, AK
- NPI 1417615543
Diagnostic Radiology
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1457315533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140349",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995140349",
"telephone_number": "907-792-7975",
"fax_number": "907-792-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 DEBARR RD",
"address_2": "SUITE 401",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995082961",
"telephone_number": "907-792-7975",
"fax_number": "907-792-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "CHRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G79975",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "8122",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AK",
"license": "8122",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00G799750",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G799750",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457315533",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.