Active NPI
Jeffrey D Glazer, MD
- Gynecology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25111
- Practice address
- 2215 Portland Ave
Louisville, KY 40212-1033 - Phone
- (812) 218-8926
- Fax
- (812) 218-8930
- NPI assigned
- Apr 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25111 | KY | Primary |
Addresses
Primary practice location
2215 Portland Ave
Louisville, KY 40212-1033
Mailing address
PO Box 950244
Louisville, KY 40295-0244
Phone (502) 953-4700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64251119 | Medicaid | KY | |
| K205680 | Other | KY | MEDICARE PTAN-AMERICANA |
| K205685 | Other | KY | MEDICARE PTAN - SOUTHWEST |
| K205681 | Other | KY | MEDICARE PTAN - PORTLAND |
| K205682 | Other | KY | MEDICARE PTAN- EAST BROADWAY |
| K205686 | Other | KY | MEDICARE PTAN- FAIRDALE |
| K205683 | Other | KY | MEDICARE PTAN - IROQUOIS |
| K205684 | Other | KY | MEDICARE PTAN - PHOENIX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051101001044 | KY | Practitioner - Obstetrics/Gynecology | 5092752105 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Centers Inc
Practice addresses (Care Compare)
4100 Taylor Blvd
Louisville, KY 40215-2342
Phone (502) 361-2381
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25111 | KY | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Current | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers Inc | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Family Health Centers, Inc. | Past | Accepting new patients | |
| Medifem Health, P.S.C. | Gynecology | Past | Accepting new patients |
| Family Health Centers, Inc. | Past | Accepting new patients |
Locations
1000 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 361-2381
4100 Taylor Blvd
Louisville, KY 40215
Phone (502) 361-2381
712 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 568-6972
4805 Southside Dr
Louisville, KY 40214
Phone (502) 772-8860
120 W Broadway
Louisville, KY 40202
Phone (502) 772-8662
4803 Southside Dr
Louisville, KY 40214
Phone (502) 363-8606
2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631
834 E Broadway
Louisville, KY 40204
Phone (502) 583-1981
4615 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
4112 Taylor Blvd
Louisville, KY 40215
Phone (502) 366-4747
2500 W Market St
Louisville, KY 40212
Phone (502) 778-0084
Interoperability endpoints
- jeffrey.glazer@fhci.eclinicaldirectplus.com
Organizations & group practices 13
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.
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1649732603
KY
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1134172489
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205689064
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1205889540
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1356394670
-
- Federally Qualified Health Center (FQHC)
- Fairdale, KY
- NPI 1871546119
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1942954441
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1427574862
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1518963230
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1578774477
-
- Federally Qualified Health Center (FQHC)
- Louisville, KY
- NPI 1801662721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1467415778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950244",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950244",
"telephone_number": "502-953-4700",
"fax_number": "502-772-8189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PORTLAND AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402121033",
"telephone_number": "812-218-8926",
"fax_number": "812-218-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KY",
"license": "25111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64251119",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN-AMERICANA",
"identifier": "K205680",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - SOUTHWEST",
"identifier": "K205685",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - PORTLAND",
"identifier": "K205681",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN- EAST BROADWAY",
"identifier": "K205682",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN- FAIRDALE",
"identifier": "K205686",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - IROQUOIS",
"identifier": "K205683",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - PHOENIX",
"identifier": "K205684",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.