Individual provider Active NPI

Ann Glasman, MD

  • Internal Medicine Physician
  • Randolph, MA
National Provider Identifier
1699883736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205410 Issued in MA
Practice address
999 N Main St
Randolph, MA 02368-3072
Phone
(781) 961-1330
Fax
(781) 963-8493
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205410 MA Primary

Addresses

Primary practice location

999 N Main St
Randolph, MA 02368-3072

Mailing address

999 N Main St
Randolph, MA 02368-3072
Phone (781) 961-1330

Other identifiers 1

IdentifierTypeStateIssuer
0164500MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060322000060 MA Practitioner - Internal Medicine 6901813690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

280 Washington St
208 Revere Medical Brighton Primary Care
Brighton, MA 02135-3584
Phone (617) 779-7237

Hospital & facility affiliations

  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Brockton Vna Home health agency, Brockton, MA, CCN 227006
  • Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
  • Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC Internal Medicine CurrentSince Jan 3, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 6, 2010 Accepting new patients
Steward Medical Group Inc. Past Accepting new patients
Bridgewater Pediatrics LLC Past Accepting new patients

Locations

11 Nevins St
Brighton, MA 02135
Phone (617) 562-2782

77 Warren St
#5
Brighton, MA 02135

280 Washington St
Ste 208
Brighton, MA 02135
Phone (617) 562-1433

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1400
Brockton, MA 02301
Phone (508) 897-6030

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

1030 President Ave
Fall River, MA 02720
Phone (508) 235-6427

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

104 Liberty St
Hanson, MA 02341
Phone (617) 293-5454

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

999 N Main St
Randolph, MA 02368
Phone (781) 961-1330

40 Spring St
Watertown, MA 02472
Phone (617) 923-8433

Interoperability endpoints

  • Direct secure messaging: ann.glasman.1@32866.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699883736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-961-1330",
            "fax_number": "781-963-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683072",
            "telephone_number": "781-961-1330",
            "fax_number": "781-963-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASMAN",
        "first_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "205410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164500",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.