Active NPI
Paul V Glowacki, M.D.
- Family Medicine Physician
- Fremont, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19985
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1319 Leavenworth St
Omaha, NE 68102-3215
Phone (402) 552-3222
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Fremont Health | Family Medicine | Current | Accepting new patients |
| Unmc Physicians | Current | 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
- paul.glowacki@direct.nmhs.org
- 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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba Methodist Fremont Health Professional Services
- Internal Medicine Physician
- Fremont, NE
- NPI 1235618216
Family Medicine
-
- Family Medicine Physician
- Fremont, NE
- NPI 1235467036
-
- Family Medicine Physician
- Fremont, NE
- NPI 1598713455
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bellevue Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
dba The Nebraska Medical Center - Nebraska Medicine
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.