Active NPI
Patrick Joseph Glynn, M.D.
- Neurology Physician
- Lacombe, LA
National Provider Identifier
1508050857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 200452
- Practice address
- 64301 Hwy 434
Lacombe, LA 70445 - Phone
- (985) 882-4500
- Fax
- (985) 882-4501
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 200452 | LA | Primary |
Addresses
Primary practice location
64301 Hwy 434
Lacombe, LA 70445
Mailing address
64301 Hwy 434
Lacombe, LA 70445
Phone (985) 882-4500
Other practice location 1
985 Robert Blvd Ste 104
Slidell, LA 70458-2063
Phone (985) 520-0909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04956850 | Medicaid | MS | |
| 1074128 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20080617000046 | LA | Practitioner - Neurology | 5496826638 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Louisiana State University School of Medicine in New Orleans, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paradigm Health System
Practice addresses (Care Compare)
110 Veterans Blvd
Suite 325
Metairie, LA 70005-4961
Phone (504) 831-6760
Hospital & facility affiliations
- Ochsner Medical Center Acute
- Sterling Surgical Hospital
- Slidell Memorial Hospital
- St Tammany Parish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.93 of 100
- Quality
- 50.42
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200452 | LA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradigm Health System | Current | Accepting new patients | |
| Northlake Neurological Institute LLC | Neurology | Past | Accepting new patients |
Locations
64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909
995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909
Interoperability endpoints
- https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4
- patrick.glynn.1@3401.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Sterling Surgical Hospital | Hospital | Other (1.91%) | Jan 1, 2026 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Lacombe, LA
- NPI 1043634454
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1508050857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64301 HWY 434",
"city": "LACOMBE",
"state": "LA",
"postal_code": "70445",
"telephone_number": "985-882-4500",
"fax_number": "985-882-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64301 HWY 434",
"city": "LACOMBE",
"state": "LA",
"postal_code": "70445",
"telephone_number": "985-882-4500",
"fax_number": "985-882-4501"
}
],
"practiceLocations": [
{
"address_1": "985 Robert Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704582063",
"country_code": "US",
"telephone_number": "985-520-0909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLYNN",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "200452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04956850",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1074128",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lacombe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.