Individual provider Active NPI

Louis Howard Glass, M.D.

  • Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1982682316
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20038 Issued in AZ
Practice address
10290 N 92ND St Ste 200
Scottsdale, AZ 85258-4528
Phone
(480) 947-7401
Fax
(480) 946-5565
NPI assigned
Jan 5, 2006
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20038 AZ Primary

Addresses

Primary practice location

10290 N 92ND St Ste 200
Scottsdale, AZ 85258-4528

Mailing address

PO Box 31295
Phoenix, AZ 85046-1295
Phone (480) 947-7401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051102001093 AZ Practitioner - General Surgery 6305864968 Practice locations: Scottsdale, AZ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20038AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Sibley M.D. P.C. Surgery Past Accepting new patients
Peter J. Ferrara M.D. P.C. Surgery Past Accepting new patients
Southwestern Cardiovascular and Thoracic Surgeons LTD Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1982682316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31295",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850461295",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N 92ND ST STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584528",
            "telephone_number": "480-947-7401",
            "fax_number": "480-946-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LOUIS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "20038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.