Glenn A Tuckman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01039553A Issued in IN

Practice address

3738 Landmark Dr
Ste D
Lafayette, IN 47905-6654

Phone

(765) 449-7984

Fax

(765) 449-9791

NPI assigned

May 24, 2005

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, FL, IA, WI, PA, IL, TN7 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 7

Specialty

Diagnostic Radiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

All-American Teleradiology LLCGroup PAC ID 3678707338, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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.

• Medical Scanning Consultants PA

  dba Rayus Radiology

  • Diagnostic Radiology Physician
  • Carmel, IN
  • NPI 1396712725

  PA

  Medicare reassignment Care Compare group NPD
• All-American Teleradiology LLC

  • Diagnostic Radiology Physician
  • Bay Village, OH
  • NPI 1386081248

  FL, IA, IL

  Medicare reassignment Care Compare group
• North Clark Medical Group LLC

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1376095711

  Diagnostic Radiology

  Medicare reassignment NPD
• Howard Simon MD PLLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1659930998

  IN

  Medicare reassignment NPD
• Milwaukee Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1518005818
  Medicare reassignment NPD
• Nashville Bone and Joint PLLC

  • Orthopaedic Surgery Physician
  • Hermitage, TN
  • NPI 1104815430
  Medicare reassignment NPD
• Spectrum Imaging SC

  • Radiology Clinic/Center
  • Chicago, IL
  • NPI 1821482621
  Medicare reassignment
• Summit Radiology Services LLC

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1124044607
  Authorized official Same address or phone
• Community Open MRI of Auburn LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Wayne, IN
  • NPI 1023201316
  NPD
• Community Open MRI of Auburn, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Auburn, IN
  • NPI 1417971177
  NPD
• Frank Olney & Rudy Nicolas PTRS

  dba 611 Open MRI/CT, 611 MRI-CT, 611 MRI Altoona

  • Specialist
  • Altoona, PA
  • NPI 1417918756

  Diagnostic Radiology

  NPD
• Independent Physicians Medical Center, LLC

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1154817278
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1821091620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 SHAMEL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781170",
            "telephone_number": "317-876-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 LANDMARK DR",
            "address_2": "STE D",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479056654",
            "telephone_number": "765-449-7984",
            "fax_number": "765-449-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKMAN",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IA",
            "license": "MD-40539",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01039553A",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-40539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64882822",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020370B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Trusty
• Sam Tsiongas, PA-C
• Igor Tubin, M.D.
• Jessica Morgan Tucker, MM, MS, CCC-SLP
• Jill E Tucker, RPH
• Ashley Turner
• Chloe Turner
• Jaelle Turner
• Joanna Turner, RBT
• Patricia Ann Turner

• Diagnostic Radiology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.

Verify at the official NPI Registry.