MITCHELL LYLE GLASER (MD.) – Psychiatry Physician, NPI 1598789521

MITCHELL LYLE GLASER (MD.) is a healthcare provider. based in Chicago, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD.. They hold a License No. 036053454 (IL). The NPI Number for MITCHELL LYLE GLASER (MD.) is 1598789521

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL LYLE GLASER (MD.)
NPI
1598789521
Phone
(773) 935-6079
Address
3059 N PAULINA ST
Enumeration Date
26 July 2006
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
3124915498
Graduation Year
1993 (33 years ago)
PAC ID
0446259584
Group Practice PAC ID
2365774718
Professional Enrollment ID
I20061219000019
Address ID
IL606220000CH1431XCLAR301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,367 PSYCHIATRY in IL

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Provider Addresses for MITCHELL LYLE GLASER (MD.)

  • 3059, North Paulina Street, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606573000

    Phone: (773) 935-6079

    Type: Mailing

  • PO BOX 1394

    LA GRANGE PARK, IL 605269494

    Phone: (312) 491-5498

    Type: Mailing

  • 1101, West Adams Street, Greektown, West Loop, Near West Side, Chicago, West Chicago Township, Cook County, Illinois, 60612, United States

    #B

    CHICAGO, IL 606072903

    Phone: (312) 770-3512

    Fax: (312) 770-3345

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 777 Open Payments records for all available years, with a total value of $326,175.

Total Amount is formed as General ($326,175) + Research ($0) + Ownership ($0) = $326,175.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($137,499).

Total Amount

$326,175

General + Research + Ownership

Payments

777

Total payment records

General Amount

$326,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2006-12-19

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
I20061219000019IPsychiatryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60657)

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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: 2365774718View full group profile
NameSpecialtyState
P S Y C H I A T R YIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is MITCHELL LYLE GLASER (MD.) listed with a National Provider Identifier?
Yes — MITCHELL LYLE GLASER (MD.) has NPI 1598789521 on file in the registry.
Is MITCHELL LYLE GLASER (MD.) still an active registrant?
MITCHELL LYLE GLASER (MD.) carries an active NPI according to the public dataset.
How would a patient describe MITCHELL LYLE GLASER (MD.)'s focus?
For MITCHELL LYLE GLASER (MD.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is MITCHELL LYLE GLASER (MD.) associated with Chicago?
Public fields place MITCHELL LYLE GLASER (MD.) around Chicago, Illinois. Always confirm the exact site before visiting.
Does MITCHELL LYLE GLASER (MD.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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