Individual provider Active NPI

Christopher W. Glanton, M.D.

  • Nephrology Physician
  • Kerrville, TX
National Provider Identifier
1609840222
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K7747 Issued in TX
Practice address
222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5994
Phone
(830) 896-7607
Fax
(830) 896-8482
NPI assigned
Feb 13, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K7747 TX Primary

Addresses

Primary practice location

222 Sidney Baker St S
Suite 208
Kerrville, TX 78028-5994

Mailing address

7142 San Pedro Ave
Ste 120
San Antonio, TX 78216-6256
Phone (210) 661-5622

Other practice location 1

575 Hill Country Dr
Kerrville, TX 78028-6024
Phone (830) 258-7090

Other identifiers 2

IdentifierTypeStateIssuer
P00367310OtherTXMEDICARE RAILROAD
165075602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040511000746 TX Practitioner - NephrologyPractitioner - Internal Medicine 8921097270 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7747TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates CurrentSince May 27, 2024 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology Past Accepting new patients

Locations

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

Interoperability endpoints

  • Direct secure messaging: christopherglanton@sakdc.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1609840222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE",
            "address_2": "STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166256",
            "telephone_number": "210-661-5622",
            "fax_number": "210-395-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SIDNEY BAKER ST S",
            "address_2": "SUITE 208",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285994",
            "telephone_number": "830-896-7607",
            "fax_number": "830-896-8482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Hill Country Dr",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780286024",
            "country_code": "US",
            "telephone_number": "830-258-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLANTON",
        "first_name": "CHRISTOPHER",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K7747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00367310",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165075602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.