Individual provider Active NPI

Andrew Glenn Allen, MD

  • Emergency Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1467949768
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME156223 Issued in FL
Practice address
1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone
(727) 825-1706
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME156223 FL Primary

Addresses

Primary practice location

1200 7TH Ave N
St Petersburg, FL 33705-1300

Mailing address

500 Dr Martin Luther King Jr St N Ste 303
St Petersburg, FL 33705-1470
Phone (727) 825-1284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721000799 FL Practitioner - Emergency Medicine 2769863885 Reassigns benefits to 1 organization
I20250502000324 WA Practitioner - Emergency Medicine 2769863885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Minnesota Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians
Ballard Emergency Physicians PSGroup PAC ID 1052209368, 24 clinicians
Eastside Emergency Physicians PLLCGroup PAC ID 5193725372, 56 clinicians

Practice addresses (Care Compare)

18100 NE Union Hill Rd
Suite 200
Redmond, WA 98052-3330
Phone (206) 320-5190

5300 Tallman Ave NW
Seattle, WA 98107-3932
Phone (206) 782-2700

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 394-0610

Hospital & facility affiliations

  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME156223FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastside Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Bayside Emergency Physicians PA Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Swedish Health Services CurrentSince Jun 10, 2025 Accepting new patients
Swedish Health Services CurrentSince Jun 10, 2025 Accepting new patients
Eastside Emergency Physicians, PLLC Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients

Locations

1200 7th Ave N
St Petersburg, FL 33705
Phone (727) 820-7764

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

18100 NE Union Hill Rd
Ste 200
Redmond, WA 98052
Phone (206) 320-5190

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1467949768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DR MARTIN LUTHER KING JR ST N STE 303",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051470",
            "telephone_number": "727-825-1284",
            "fax_number": "727-290-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANDREW",
        "middle_name": "GLENN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME156223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.