Individual provider Active NPI

Luis Glodowski, MD

  • Cardiovascular Disease Physician
  • Sunnyside, NY
National Provider Identifier
1477508158
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
143924 Issued in NY
Practice address
4701 Queens Blvd
Ste 304
Sunnyside, NY 11104-1606
Phone
(718) 424-4646
Fax
(718) 424-4348
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 143924 NY Primary

Addresses

Primary practice location

4701 Queens Blvd
Ste 304
Sunnyside, NY 11104-1606

Mailing address

4701 Queens Blvd Ste 201
Sunnyside, NY 11104-1623
Phone (347) 215-4223

Other identifiers 1

IdentifierTypeStateIssuer
00937059MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080501000736 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729167747 Reassigns benefits to 1 organization
Practice locations: Sunnyside, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4701 Queens Blvd
Suite 304
Sunnyside, NY 11104-1606
Phone (718) 424-4646

Merit-based Incentive Payment System (MIPS)

Final score
39.08 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
83.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Today P.C. CurrentSince Nov 26, 2024 Accepting new patients
Maimonides Faculty Practice Plan Past Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Cardiovascular Disease Past Accepting new patients
Forest Hills Nuclear Spect Imaging PC Past Accepting new patients

Locations

474 Ovington Ave
Ste Ll
Brooklyn, NY 11209
Phone (718) 238-2625

527 Coney Island Ave
Frnt 1
Brooklyn, NY 11218
Phone (718) 306-5025

1218 Neptune Ave
Brooklyn, NY 11224
Phone (718) 200-8094

350 Jericho Tpke
Ste 312
Jericho, NY 11753
Phone (646) 673-5067

4701 Queens Blvd
Ste 304
Sunnyside, NY 11104
Phone (718) 424-4344

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: luis.glodowski@178097235296260.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1477508158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 201",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041623",
            "telephone_number": "347-215-4223",
            "fax_number": "718-424-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD",
            "address_2": "STE 304",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041606",
            "telephone_number": "718-424-4646",
            "fax_number": "718-424-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLODOWSKI",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "143924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00937059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.