Individual provider Active NPI

Chad Alan Glazer, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Michigan City, IN
National Provider Identifier
1609915503
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
01071618A Issued in IN
Practice address
8865 W 400 N Ste 120
Michigan City, IN 46360-9011
Phone
(219) 878-5031
Fax
(219) 879-5498
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 01071618A IN Primary
Otolaryngology Physician 207Y00000X 01071618A IN

Addresses

Primary practice location

8865 W 400 N Ste 120
Michigan City, IN 46360-9011

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 1

IdentifierTypeStateIssuer
201124820MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cglazer109348@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130206000265 IN Practitioner - Otolaryngology 1759530801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Johns Hopkins University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

11061 Broadway
Suite B
Crown Point, IN 46307-8834
Phone (219) 232-9290

1225 E Coolspring Ave
Suite 300
Michigan City, IN 46360-6312
Phone (219) 878-5031

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision232
Removal or shaving of skin growth1-10
Skin biopsy56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01071618AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Jan 1, 2013 Accepting new patients
Franciscan Physician Network CurrentSince Jan 1, 2013 Accepting new patients
Illinois Dermatology Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Northern Indiana Dermatology and Skin Surgery Center Past Accepting new patients

Locations

2622 Momentum Pl
Chicago, IL 60689

810 Michael Dr
Ste K
Chesterton, IN 46304
Phone (219) 395-2165

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

11061 Broadway
#B
Crown Point, IN 46307
Phone (219) 232-9209

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

1225 E Coolspring Ave
Ste 1A
Michigan City, IN 46360
Phone (219) 878-5035

8865 W 400 N
Ste 120
Michigan City, IN 46360
Phone (219) 872-7546

1225 E Coolspring Ave
Ste 300
Michigan City, IN 46360
Phone (219) 873-2992

3190 Lancer St
Portage, IN 46368
Phone (219) 764-3600

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: cglazer@illinois.emadirect.md
  • Direct secure messaging: cglazer109348@direct.franciscanalliance.org

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1609915503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8865 W 400 N STE 120",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609011",
            "telephone_number": "219-878-5031",
            "fax_number": "219-879-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "CHAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "01071618A",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01071618A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201124820",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cglazer109348@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8865 W 400 N",
            "address_2": "Suite 120",
            "city": "Michigan City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463609222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.