Individual provider Active NPI

Melody Jean Glenn, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1770826976
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A141103 Issued in CA
Practice address
1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone
(520) 626-6923
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X NM
Emergency Medicine Physician 207P00000X A141103 CA Primary
Emergency Medicine Physician 207P00000X MD2015-0782 NM
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 58775 AZ

Addresses

Primary practice location

1501 N Campbell Ave
Tucson, AZ 85724-0001

Mailing address

1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 626-6923

Other practice location 1

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 626-6923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20161128002117 CA Practitioner - Addiction MedicinePractitioner - Emergency Medicine 6103118633 Reassigns benefits to 3 organizations
I20190925001076 AZ Practitioner - Emergency MedicinePractitioner - Addiction Medicine 6103118633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Addiction Medicine
Education
University of California, San Francisco School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141103CAMDEmergency Medicine Physician
MD2015-0782NMMDEmergency Medicine Physician
58775AZMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Banner-University Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Banner-University Medical Group Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Dec 25, 2016 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2017 Accepting new patients
Alameda Health System CurrentSince Jul 31, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients
B--Umg Integrated Health Clinic, LLC CurrentSince May 4, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Codac Health Recovery and Wellness CurrentSince Jul 1, 2020 Accepting new patients
University of California SFGH Medical Group Emergency Medicine CurrentSince Dec 25, 2016 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Alameda Health System Current Accepting new patients

Locations

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

1625 N Campbell Ave
Tucson, AZ 85719

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

Interoperability endpoints

  • Direct secure messaging: melody.glenn.p1@direct.codachrw.nextgenshare.com
  • Direct secure messaging: mglenn14195@alamedahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1770826976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-6923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 E Ajo Way",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136204",
            "country_code": "US",
            "telephone_number": "520-626-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "MELODY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A141103",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2015-0782",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "58775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.