Keith Glenn, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

35.133298 Issued in OH

Practice address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(210) 539-9582

NPI assigned

Jan 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Keith Glenn Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, TX, OK, GU, CO, AR6 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 6

Specialty

Internal Medicine

Education

University of Louisville School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Usacs Critical Care Medicine of Oklahoma, LLCGroup PAC ID 3577096783, 17 clinicians

Usacs Observation Medicine Services of Colorado Inc.Group PAC ID 9133498074, 73 clinicians

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Central Texas Intensivists PLLCGroup PAC ID 8921446345, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272
• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

Merit-based Incentive Payment System (MIPS)

Final score

87.99 of 100Reported as group

Quality

82.16

Improvement activities

40

Cost

76.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kglenn367974@christushealth.direct-ci.net

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.

• Central Texas Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • San Marcos, TX
  • NPI 1205690765
  Medicare reassignment Care Compare group NPD
• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Usacs Critical Care Medicine of Oklahoma, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Broken Arrow, OK
  • NPI 1255166856
  Medicare reassignment Care Compare group NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1518491232
  Medicare reassignment Care Compare group
• Gulf Coast Intensivists, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
  • NPI 1104509199
  Medicare reassignment NPD
• Usacs Critical Care Medicine Services of Texas, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Cedar Park, TX
  • NPI 1023522554
  Medicare reassignment NPD
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment NPD
• Usacs Critical Care Medicine Services of Ohio, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Springfield, OH
  • NPI 1104560580

  TX

  Medicare reassignment NPD
• Usacs Integrated Acute Care Services of Ohio, LLC

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1043805690
  Medicare reassignment NPD
• Arkansas Health Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Little Rock, AR
  • NPI 1598031882
  Medicare reassignment
• Guam Memorial Hospital

  • Skilled Nursing Facility
  • Oka Tamuning, GU
  • NPI 1952479131
  NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Durango, CO
  • NPI 1659220663
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation
• St. John Broken Arrow, Inc

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1487044608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Mirabeau St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "OH",
            "postal_code": "451231617",
            "country_code": "US",
            "telephone_number": "937-981-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.133298",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133298",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.133298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289714",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "550 Mirabeau St",
            "city": "Greenfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451231617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "GLENN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evan Gilmartin, DMD
• Audrey Ann Gilmore, M.S., CCC-SLP
• Mariah Girard
• Tia Marie Gladden, L.C.S.W.
• Jessie Sara Glasser, MD
• Nikhil Jai Godbole, DO
• Christian Goei, MD
• Stephen Michael Goertzen, DO
• Garrison Taylor Goessler, DO
• Stephen Lawrence Goffar, PT

• Infectious Disease Physician in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.