Individual provider Active NPI

Paul V Glowacki, M.D.

  • Family Medicine Physician
  • Fremont, NE
National Provider Identifier
1740238559
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19985 Issued in NE
Practice address
350 W 23Rd St
Suite G
Fremont, NE 68025-2592
Phone
(402) 721-5727
Fax
(402) 753-6096
NPI assigned
May 4, 2006
Last updated
May 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19985 NE Primary

Addresses

Primary practice location

350 W 23Rd St
Suite G
Fremont, NE 68025-2592

Mailing address

350 West 23Rd St.
Suite G
Fremont, NE 68025-2300
Phone (402) 721-5727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20050510001102 NE Practitioner - Family PracticePractitioner - Hospitalist 6507806411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

1319 Leavenworth St
Omaha, NE 68102-3215
Phone (402) 552-3222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Fremont Health Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Unmc Physicians CurrentSince Jan 1, 2023 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Fremont Health Clinic Family Medicine Current Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Milo V. Anderson M.D. Family Medicine Past Accepting new patients

Locations

2540 N Healthy Way
Fremont, NE 68025
Phone (402) 721-3133

350 W 23rd St
Fremont, NE 68025
Phone (402) 721-2444

350 W 23rd St
Ste D
Fremont, NE 68025
Phone (402) 721-8800

350 W 23rd St
Ste G
Fremont, NE 68025
Phone (402) 721-5727

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

207 S Engdahl Ave
Oakland, NE 68045
Phone (402) 685-5683

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

1319 Leavenworth St
Omaha, NE 68102
Phone (402) 552-2050

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Interoperability endpoints

  • Direct secure messaging: paul.glowacki@direct.nmhs.org
  • Direct secure messaging: pglowacki16356@direct.nebraskamed.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1740238559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WEST 23RD ST.",
            "address_2": "SUITE G",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252300",
            "telephone_number": "402-721-5727",
            "fax_number": "402-753-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "address_2": "SUITE G",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-721-5727",
            "fax_number": "402-753-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWACKI",
        "first_name": "PAUL",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.