Individual provider Active NPI

Graham A Glass, M.D.

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1881671907
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A94613 Issued in CA
Practice address
3739 Balboa St
PMB #219
San Francisco, CA 94121-2605
Phone
(415) 221-4810
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A94613 CA Primary

Addresses

Primary practice location

3739 Balboa St
PMB #219
San Francisco, CA 94121-2605

Mailing address

3739 Balboa St
PMB #219
San Francisco, CA 94121-2605
Phone (415) 221-4810

Other identifiers 1

IdentifierTypeStateIssuer
948173700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20090507000492 AK Practitioner - NeurologyPractitioner - Sleep Medicine 9436183456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peak Neurology and Sleep Medicine, LLCGroup PAC ID 6901024017, 9 clinicians

Practice addresses (Care Compare)

2741 Debarr Rd
Anchorage, AK 99508-2972
Phone 90733136407575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Peninsula Hospital, Inc CurrentSince Aug 6, 2015 Accepting new patients
Graham Glass MD, LLC Neurology CurrentSince Jun 7, 2010 Accepting new patients
Peak Neurology and Sleep Medicine, LLC CurrentSince Jul 17, 2014 Accepting new patients
Greatland Mental Health, LLC CurrentSince Jan 1, 2013 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Aug 6, 2015 Accepting new patients

Locations

4050 Lake Otis Pkwy
Ste 110
Anchorage, AK 99508
Phone (907) 222-1347

1400 W Benson Blvd
Ste 315
Anchorage, AK 99503
Phone (907) 929-4009

2741 Debarr Rd
Ste 411
Anchorage, AK 99508
Phone (907) 331-0140

2440 E Tudor Rd
Anchorage, AK 99507
Phone (907) 444-4526

3831 Piper St
Ste SLL020
Anchorage, AK 99508
Phone (907) 212-3470

1400 W Benson Blvd
Ste 525
Anchorage, AK 99503
Phone (907) 929-4009

2741 Debarr Rd
Ste 308
Anchorage, AK 99508
Phone (907) 331-3640

2741 Debarr Rd
Ste C308
Anchorage, AK 99508
Phone (907) 272-3366

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

Interoperability endpoints

  • Direct secure messaging: graham.glass.1@10055.direct.athenahealth.com
  • Direct secure messaging: graham.glass.1@14977.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10055/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1881671907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 BALBOA ST",
            "address_2": "PMB #219",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212605",
            "telephone_number": "415-221-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 BALBOA ST",
            "address_2": "PMB #219",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212605",
            "telephone_number": "415-221-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "GRAHAM",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A94613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948173700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.