Active NPI
Glenn Patrick York, DPM
- Podiatrist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 215
- Practice address
- 2255 S 132ND St Ste 100
Omaha, NE 68144-2573 - Phone
- (531) 867-4466
- Fax
- (402) 226-4827
- NPI assigned
- Nov 29, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 215 | NE | Primary |
Addresses
Primary practice location
2255 S 132ND St Ste 100
Omaha, NE 68144-2573
Mailing address
2255 S 132ND St Ste 100
Omaha, NE 68144-2573
Phone (531) 867-4466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0903948 | Medicaid | IA | |
| 470773888 00 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3506 S 201St Cir
Omaha, NE 68130-5094
Phone (402) 681-4030
7 Elliott St
Council Bluffs, IA 51503-0239
Phone (531) 867-4466
Hospital & facility affiliations
- CHI Health Immanuel
- CHI Health Lakeside
- The Nebraska Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 209 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215 | NE | MD | Podiatrist |
| 00488 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pgfhgs Holdings LLC | Current | Accepting new patients |
Locations
1221 E Pierce St
Ste 100
Council Bluffs, IA 51503
Phone (402) 671-2644
7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466
2255 S 132nd St
Ste 100
Omaha, NE 68144
Phone (402) 614-4969
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 and National Provider Directory roles.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1669455184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 S 132ND ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442573",
"telephone_number": "531-867-4466",
"fax_number": "402-226-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 S 132ND ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442573",
"telephone_number": "531-867-4466",
"fax_number": "402-226-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "GLENN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NE",
"license": "215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0903948",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470773888 00",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.