Active NPI
Glenda Marie Kremer, M.D.
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L7783
- Practice address
- 5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514 - Phone
- (817) 334-1400
- Fax
- (817) 334-1410
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L7783 | TX | Primary |
Addresses
Primary practice location
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514
Mailing address
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514
Phone (817) 334-1400
Other practice location 1
909 9th Ave
Suite 300
Fort Worth, TX 76104-3903
Phone (817) 336-7191
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197396805 | Medicaid | TX | |
| 197396804 | Medicaid | TX | |
| 197396806 | Other | TX | MEDICAID OTHER |
| 197396807 | Medicaid | TX |
Other names 1
- Ms. Glenda Marie Amisial
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1412 May St
Fort Worth, TX 76104-7639
Phone (817) 625-8818
7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100
809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257
900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Past | Accepting new patients |
Locations
809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133
5450 Clearfork Main St
Ste 300
Fort Worth, TX 76109
Phone (817) 334-1400
5450 Clearfork Main St
Ste 430
Fort Worth, TX 76109
Phone (817) 336-7191
1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818
909 9th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 336-7191
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222
Interoperability endpoints
- glenda.kremer@wellmed.eclinicaldirectplus.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
dba USMD Physician Services
- Internal Medicine Physician
- Arlington, TX
- NPI 1033167234
Family Medicine
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
-
dba Texas Health Huguley Hospital Fort Worth South
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
dba Texas Health Huguley Hospital Fort Worth South
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
dba Huguley Memorial Medical Center
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1932239100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093514",
"telephone_number": "817-334-1400",
"fax_number": "817-334-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093514",
"telephone_number": "817-334-1400",
"fax_number": "817-334-1410"
}
],
"practiceLocations": [
{
"address_1": "909 9th Ave",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043903",
"country_code": "US",
"telephone_number": "817-336-7191",
"fax_number": "817-877-4015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREMER",
"first_name": "GLENDA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L7783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197396805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197396804",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OTHER",
"identifier": "197396806",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197396807",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLENDA",
"last_name": "AMISIAL",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.