Individual provider Active NPI

Kathi Sue Glauner, MD

  • Emergency Medicine Physician
  • South Lake Tahoe, CA
National Provider Identifier
1861711913
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C154067 Issued in CA
Practice address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone
(530) 541-3420
NPI assigned
May 27, 2010
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 17536 NV
Emergency Medicine Physician 207P00000X C154067 CA Primary

Addresses

Primary practice location

2170 South Ave
South Lake Tahoe, CA 96150-7026

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Other practice location 1

1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone (775) 782-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20171227002304 NV Practitioner - Emergency Medicine 6507009388 Reassigns benefits to 2 organizations
I20180312002125 CA Practitioner - Emergency Medicine 6507009388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Emergency Physicians Medical CorporationGroup PAC ID 0446151674, 18 clinicians

Practice addresses (Care Compare)

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 541-3420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C154067CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Emergency Physicians Medical Corporation Emergency Medicine CurrentSince Feb 7, 2018 Accepting new patients
Barton Healthcare System Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Barton Healthcare System Emergency Medicine Current Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
Barton Healthcare System CurrentSince Aug 1, 2018 Accepting new patients

Locations

1501 Kirkwood Meadows Dr
#A
Kirkwood, CA 95646
Phone (209) 258-6000

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

Interoperability endpoints

  • Direct secure messaging: kglauner4816@direct.kuha.org

Organizations & group practices 5

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 3

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1861711913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-541-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 US Highway 395 N",
            "address_purpose": "LOCATION",
            "city": "Gardnerville",
            "state": "NV",
            "postal_code": "894105304",
            "country_code": "US",
            "telephone_number": "775-782-1500",
            "fax_number": "775-782-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAUNER",
        "first_name": "KATHI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "17536",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C154067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.