NPIMap

Individual provider Active NPI

Daran G Glenn, M.D.

  • Nephrology Physician
  • Midlothian, VA
National Provider Identifier
1952412058
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101240434 Issued in VA
Practice address
13855 Village Place Drive
Midlothian, VA 23114-4404
Phone
(804) 464-1028
Fax
(804) 464-2931
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101240434 VA Primary

Addresses

Primary practice location

13855 Village Place Drive
Midlothian, VA 23114-4404

Mailing address

671 Hioaks Rd Ste B
Richmond, VA 23225-4072
Phone (804) 272-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000419 VA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 4082684493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Nephrology Associates IncGroup PAC ID 3173549045, 24 clinicians

Practice addresses (Care Compare)

671 Hioaks Rd B
Richmond, VA 23225-4072
Phone (804) 323-6903

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23850SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Nephrology Associates, Inc. Nephrology CurrentSince Nov 17, 2006 Accepting new patients
Greenville Kidney Care LLC Nephrology PastSince Nov 1, 2011 Accepting new patients

Locations

13855 Village Place Dr
Midlothian, VA 23114
Phone (804) 464-1028

671 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 272-5814

Interoperability endpoints

  • Direct secure messaging: daran.glenn@rn.eclinicaldirectplus.com
  • Direct secure messaging: daran.glenn@direct.davitaphysiciansolutions.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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1952412058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HIOAKS RD STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 VILLAGE PLACE DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144404",
            "telephone_number": "804-464-1028",
            "fax_number": "804-464-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "DARAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101240434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.