Individual provider Active NPI

Darren R Glass, M.D.

  • Surgery Physician
  • Salem, VA
National Provider Identifier
1699743591
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101268865 Issued in VA
Practice address
1898 Braeburn Dr
Salem, VA 24153-7301
Phone
(540) 772-3008
Fax
(540) 772-3352
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 81-4671690 TX
Surgery Physician 208600000X 0101268865 VA Primary

Addresses

Primary practice location

1898 Braeburn Dr
Salem, VA 24153-7301

Mailing address

1898 Braeburn Dr
Salem, VA 24153-7301
Phone (540) 772-3008

Other identifiers 5

IdentifierTypeStateIssuer
1701027OtherMNMEDICA
094L9GLOtherMNBCBSM
0101268865MedicaidVA
829699500MedicaidMN
003112089AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110927000431 GA Practitioner - General Surgery 7113052416
I20200413001738 VA Practitioner - General Surgery 7113052416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Surgical Associates PCGroup PAC ID 9234130311, 3 clinicians

Practice addresses (Care Compare)

1898 Braeburn Dr
Salem, VA 24153-7301
Phone (540) 772-3008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.67 of 100Reported as group
Quality
66.8
Promoting interoperability
100
Improvement activities
40
Cost
75.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268865VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Surgical Associates PC Surgery CurrentSince Aug 1, 2024 Accepting new patients
Mobile Imaging Services, LLC Past Accepting new patients
Firstcare Medical Foundation Surgery Past Accepting new patients

Locations

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1898 Braeburn Dr
Salem, VA 24153
Phone (540) 769-0030

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDFCA

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.

Hospital & facility affiliations 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1699743591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537301",
            "telephone_number": "540-772-3008",
            "fax_number": "540-772-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 BRAEBURN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537301",
            "telephone_number": "540-772-3008",
            "fax_number": "540-772-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DARREN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "81-4671690",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101268865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1701027",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "094L9GL",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101268865",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829699500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112089A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.