DR. JEFFREY A GLICK (M.D.) – Nephrology Physician, NPI 1477533511

DR. JEFFREY A GLICK (M.D.) is a healthcare provider. based in Van nuys, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. G58181 (CA). The NPI Number for DR. JEFFREY A GLICK (M.D.) is 1477533511

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY A GLICK (M.D.)
NPI
1477533511
Phone
(818) 908-8048
Address
5805 SEPULVEDA BLVD
Enumeration Date
17 January 2006
Last Update Date
12 September 2017

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
8184870040
Graduation Year
1985 (41 years ago)
PAC ID
0840387635
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20100616000759
Address ID
CA916073430NO12660DRXX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

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Provider Addresses for DR. JEFFREY A GLICK (M.D.)

  • 5805, Sepulveda Boulevard, Van Nuys Neighborhood Council District, Los Angeles, Los Angeles County, California, 91411, United States

    SUITE 610

    VAN NUYS, CA 914112546

    Phone: (818) 908-8048

    Fax: (818) 908-8072

    Type: Mailing

  • Riverside Drive, Whitneys Landing, Severna Park, Anne Arundel County, Maryland, 21146, United States

    SUITE 225

    NORTH HOLLYWOOD, CA 916073429

    Phone: (818) 487-0040

    Fax: (818) 487-0050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($61).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100616000759INephrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg1,50016$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes708218$0
99214Established patient office or other outpatient visit, 30-39 minutes486226$0
36415Insertion of needle into vein for collection of blood sample307185$0
80053Blood test, comprehensive group of blood chemicals193131$0
View full utilization report →

Insurance plans in this area (ZIP 91411)

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Provider's Procedures

DR. JEFFREY A GLICK (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYCA83036Hemoglobin A1C level7852
NEPHROLOGYCA90670Pneumococcal vaccine for injection into muscle103103
NEPHROLOGYCA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older7934

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find DR. JEFFREY A GLICK (M.D.)'s NPI?
You can confirm DR. JEFFREY A GLICK (M.D.) with NPI 1477533511; it appears in the national provider directory.
Is DR. JEFFREY A GLICK (M.D.) currently active in the NPI registry?
CMS-published data lists DR. JEFFREY A GLICK (M.D.) as an active registrant.
Does DR. JEFFREY A GLICK (M.D.) list a primary specialty?
If you are matching referrals, note Nephrology Physician for DR. JEFFREY A GLICK (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JEFFREY A GLICK (M.D.)?
The page summarizes Van Nuys, California for DR. JEFFREY A GLICK (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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