Kyle James Glienke, MD
Individual provider Active NPI Family Medicine Physician · Storm Lake, IA
NPI 1851633713 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1851633713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-43865 (IA)
- Practice address
- Unitypoint Clinic-Family Medicine-Buena Vista
620 Northwestern Dr
Storm Lake, IA 50588-2935 - Phone
- (712) 732-5030
- NPI assigned
- Mar 19, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 12
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Trinity Regional Medical Center
Sports Rehab and Professional Therapy Associates Inc
Practice addresses (Care Compare)
1525 W 5TH St
Storm Lake, IA 50588-3027
Phone (712) 732-4030
315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Hospital & facility affiliations
- Unitypoint at Home
- Buena Vista County Public Health and Home Care
- St Croix Hospice
- Cherokee Regional Hospice
- Trinity Regional Medical Center
- Buena Vista Regional Medical Center
- Cherokee Regional Medical Center
- Pocahontas Community Hospital
- St Lukes Regional Medical Center
- Methodist Manor Retirement Community
- Accura Healthcare of Aurelia, LLC
- Buena Vista Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Accura Healthcare of Aurelia LLC |
Skilled nursing facility | W-2 Managing Employee | Apr 1, 2024 |
| Unitypoint Clinic Family Medicine - Buena Vista |
Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jun 1, 2018 Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170614000088 | IA | Practitioner - Family Practice |
3173756111 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Trinity Regional Medical Center | Current |
Accepting new patients | |
| Buena Vista Regional Medical Center | Past | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
620 Northwestern Dr
#C
Storm Lake, IA 50588
Phone (712) 732-5030
620 Northwestern Dr
Storm Lake, IA 50588
Phone (712) 213-8065
620 Northwestern Dr
Ste 1
Storm Lake, IA 50588
Phone (712) 358-1926
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- kglienke9653@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-43865 | IA | |
| Family Medicine Physician | 207Q00000X | MD-43865 | IA | Yes |
Addresses
Primary practice location
Unitypoint Clinic-Family Medicine-Buena Vista
620 Northwestern Dr
Storm Lake, IA 50588-2935
Mailing address
PO Box 1455
Des Moines, IA 50306-1455
Phone (515) 471-9300
Other providers in Storm Lake, IA
- Ingrid E Franze
- Katherine A Frick
- Function First Chiropractic
- Fotene Gennatos
- Amelia Helen Gilliland
- Wendy L Goodchild
- Robert R Grant
- Abby L Greenlee
- Renee A Gregorich
- Angelica Grieme
All providers in Storm Lake, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.