Organization Active NPI

Simone Glinberg MD SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Madison, WI
National Provider Identifier
1497506786
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SIMONE GLINBERG MD SC
Practice address
725 Heartland TRL Ste 110
Madison, WI 53717-1976
Phone
(608) 957-7910
Fax
(608) 957-7917
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Simone L Glinberg, MDNPI 1144288499
Title
President
Phone
(608) 957-7910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

725 Heartland TRL Ste 110
Madison, WI 53717-1976

Mailing address

3302 Prairie Glade Rd
Middleton, WI 53562-1776
Phone (608) 957-7910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920001167 WI Part B Supplier - Clinic/Group Practice 2769923507 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

725 Heartland Trl
Ste 110
Madison, WI 53717
Phone (608) 957-7910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1497506786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 PRAIRIE GLADE RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621776",
            "telephone_number": "608-957-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HEARTLAND TRL STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171976",
            "telephone_number": "608-957-7910",
            "fax_number": "608-957-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE GLINBERG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "GLINBERG",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-957-7910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.