Individual provider Active NPI

Tobias Glister, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Annapolis, MD
National Provider Identifier
1932214566
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01731 Issued in MD
Practice address
43 Old Solomons Island Rd Ste 102
Annapolis, MD 21401-3851
Phone
(410) 263-3100
Fax
(410) 263-7380
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01731 MD Primary

Addresses

Primary practice location

43 Old Solomons Island Rd Ste 102
Annapolis, MD 21401-3851

Mailing address

14010 Smoketown Rd Ste 103
Woodbridge, VA 22192-4723
Phone (703) 583-5959

Other practice location 1

1657 Crofton Blvd Ste 201
Crofton, MD 21114-1348
Phone (410) 721-4505

Other practice location 2

4475 Regency Pl Ste 204
White Plains, MD 20695-3074
Phone (301) 645-1406

Other identifiers 1

IdentifierTypeStateIssuer
266928500MedicaidMD

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000304 MD Practitioner - Podiatry 2769622174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Podiatry PLLCGroup PAC ID 8527086834, 8 clinicians

Practice addresses (Care Compare)

1657 Crofton Blvd
Suite 201
Crofton, MD 21114-1348
Phone (410) 721-4505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of skin lesions19
Removal of nail tissue612
Removal or shaving of skin growth239
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149MTMDProfessional Counselor
01731MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Podiatry PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Potomac Podiatry PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2023 Accepting new patients
Walter Reed National Military Medical Center Current Accepting new patients

Locations

43 Old Solomons Island Rd
Ste 102
Annapolis, MD 21401
Phone (410) 263-3100

1657 Crofton Blvd
Ste 201
Crofton, MD 21114
Phone (410) 721-4505

4475 Regency Pl
Ste 204
White Plains, MD 20695
Phone (301) 358-6070

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

Organizations & group practices 3

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 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1932214566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN RD STE 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924723",
            "telephone_number": "703-583-5959",
            "fax_number": "703-583-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OLD SOLOMONS ISLAND RD STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013851",
            "telephone_number": "410-263-3100",
            "fax_number": "410-263-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1657 Crofton Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211141348",
            "country_code": "US",
            "telephone_number": "410-721-4505",
            "fax_number": "410-721-2394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4475 Regency Pl Ste 204",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953074",
            "country_code": "US",
            "telephone_number": "301-645-1406",
            "fax_number": "301-645-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLISTER",
        "first_name": "TOBIAS",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266928500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.