Active NPI
Chad Alan Glazer, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 01071618A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201124820 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 232 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071618A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Illinois Dermatology Institute, LLC | Current | 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
- cglazer@illinois.emadirect.md
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- MOHS-Micrographic Surgery Physician
- Portage, IN
- NPI 1639289093
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.