Individual provider Active NPI

John Patrick Gleysteen, MD

  • Otolaryngology Physician
  • Memphis, TN
National Provider Identifier
1770876344
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
56203 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 260
Memphis, TN 38104-7549
Phone
(901) 272-6051
Fax
(901) 266-6443
NPI assigned
May 16, 2011
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 56203 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 260
Memphis, TN 38104-7549

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

7705 Poplar Ave Ste 110
Germantown, TN 38138-3930
Phone (901) 272-6051

Other identifiers 4

IdentifierTypeStateIssuer
03936334MedicaidMS
Q031018MedicaidTN
223244001MedicaidAR
6120219OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20171114000366 TN Practitioner - Otolaryngology 8527203389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Methodist Physicians LLCGroup PAC ID 2769623669, 123 clinicians

Practice addresses (Care Compare)

1325 Eastmoreland Ave
Suite 260
Memphis, TN 38104-7549
Phone (901) 272-6051

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision14
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Methodist Physicians LLC Otolaryngology CurrentSince Sep 18, 2017 Accepting new patients

Locations

7705 Poplar Ave
Ste 110
Germantown, TN 38138
Phone (901) 272-6051

7945 Wolf River Blvd
Fl 2
Germantown, TN 38138
Phone (901) 609-3520

7945 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 201-5470

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 260
Memphis, TN 38104
Phone (901) 272-6051

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

Interoperability endpoints

  • Direct secure messaging: jgleysteen27235@mlh.direct-ci.com

Organizations & group practices 1

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 7

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1770876344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 260",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047549",
            "telephone_number": "901-272-6051",
            "fax_number": "901-266-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7705 Poplar Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383930",
            "country_code": "US",
            "telephone_number": "901-272-6051",
            "fax_number": "901-516-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEYSTEEN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "56203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03936334",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031018",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223244001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6120219",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.