NPIMap

Individual provider Active NPI

Pooneh Hendi Glascock, M.D.

  • Emergency Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1457477242
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A115487 Issued in CA
Practice address
701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone
(319) 398-6297
NPI assigned
Mar 22, 2007
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A115487 CA Primary
Emergency Medicine Physician 207P00000X 36195 IA

Addresses

Primary practice location

701 10TH St SE
Cedar Rapids, IA 52403-1251

Mailing address

PO Box 5610
Cedar Rapids, IA 52406-5610

Other practice location 1

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888

Other identifiers 2

IdentifierTypeStateIssuer
1457477242MedicaidIA
1457477242OtherIABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060220000082 IA Practitioner - Emergency Medicine 4082629647 Reassigns benefits to 6 organizations
I20251211000846 CA Practitioner - Emergency Medicine 4082629647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University ofGroup PAC ID 7517869605, 126 clinicians
Waterloo Emergency Physicians, LLCGroup PAC ID 5092246967, 21 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115487CAMDEmergency Medicine Physician
36195IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Cedar Falls Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 10, 2025 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Grinnell Regional Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Waterloo Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 15, 2024 Accepting new patients
Sartori Memorial Hospital Inc Emergency Medicine CurrentSince May 28, 2019 Accepting new patients
Sartori Memorial Hospital Inc CurrentSince May 28, 2019 Accepting new patients
University of California Irvine Past Accepting new patients
Linn County Emergency Medicine PC Emergency Medicine Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

Interoperability endpoints

  • Direct secure messaging: pglascock3932174@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1457477242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524065610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-456-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASCOCK",
        "first_name": "POONEH",
        "middle_name": "HENDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A115487",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "36195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457477242",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1457477242",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.