GLENN T WETZEL (MD) – Pediatric Cardiology Physician, NPI 1023074010
Pediatric Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
652 PEDIATRIC MEDICINE in MD
Provider Addresses for GLENN T WETZEL (MD)
600 N Wolfe St
Baltimore, MD 212870005
Phone: (410) 955-5000
Type: Location
49 N DUNLAP ST STE 345
MEMPHIS, TN 381032802
Phone: (901) 287-5092
Type: Mailing
Le Bonheur Children's Hospital, 848, Adams Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
MEMPHIS, TN 38103
Phone: (901) 287-7337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041130000797 | I | Cardiovascular Disease (Cardiology) | TN | TBD |
| I20221019001159 | I | Pediatric Medicine | MD | TBD |
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.
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 21287)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| O T O L A R Y N G O L O G Y | TX | |
| Clinical Psychologist | MD | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| O P H T H A L M O L O G Y | MD | |
| Pulmonary Disease, Internal Medicine | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.