Individual provider Active NPI

Glenn Serasky Price, MD

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1881659431
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0040428 Issued in MD
Practice address
7850 Rossville Blvd Ste 220
Baltimore, MD 21236-3934
Phone
(410) 764-1974
Fax
(866) 556-5704
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0040428 MD Primary

Addresses

Primary practice location

7850 Rossville Blvd Ste 220
Baltimore, MD 21236-3934

Mailing address

3306 Fallstaff Rd
Baltimore, MD 21215-1723
Phone (410) 764-1974

Other practice location 1

8615 Ridgelys Choice Dr
Suite 104
Baltimore, MD 21236-3026
Phone (410) 764-1974

Other practice location 2

217 Washington Heights Med Ctr
Westminster, MD 21157-5639
Phone (410) 764-1974

Other practice location 3

1314 Bedford Ave Ste 107
Pikesville, MD 21208-3737
Phone (410) 764-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070611000501 MD Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6002914314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Virginia Commonwealth University, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8615 Ridgelys Choice Dr
Suite 104
Nottingham, MD 21236-3027
Phone (410) 764-1974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0040428MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn S. Price, MD PC CurrentSince Dec 22, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8615 Ridgelys Choice Dr
Ste 104
Nottingham, MD 21236
Phone (410) 529-3913

7850 Rossville Blvd
Ste 220
Nottingham, MD 21236
Phone (410) 764-1974

1314 Bedford Ave
Ste 107
Pikesville, MD 21208
Phone (410) 580-1616

217 Washington Heights Med Ctr
Westminster, MD 21157
Phone (410) 876-3033

Interoperability endpoints

  • Direct secure messaging: thepainmanagementgroup.glennprice@132514.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1881659431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151723",
            "telephone_number": "410-764-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 ROSSVILLE BLVD STE 220",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363934",
            "telephone_number": "410-764-1974",
            "fax_number": "866-556-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8615 Ridgelys Choice Dr",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212363026",
            "country_code": "US",
            "telephone_number": "410-764-1974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Washington Heights Med Ctr",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575639",
            "country_code": "US",
            "telephone_number": "410-764-1974",
            "fax_number": "866-556-5704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Bedford Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212083737",
            "country_code": "US",
            "telephone_number": "410-764-1974",
            "fax_number": "866-556-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "GLENN",
        "middle_name": "SERASKY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0040428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.