KEITH GLENN (MD) – Infectious Disease Physician, NPI 1487044608

KEITH GLENN (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.133298 (OH). The NPI Number for KEITH GLENN (MD) is 1487044608

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KEITH GLENN (MD)
NPI
1487044608
Phone
(281) 748-6309
Address
800 WASHINGTON ST
Enumeration Date
26 January 2015
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
9183337200
Graduation Year
2015 (11 years ago)
PAC ID
2062727373
Group Practice PAC ID
3577096783
Professional Enrollment ID
I20241115000433
Address ID
OK740062411BA3500XBLVD500
Telehealth
Yes

Contacts

Secure Messaging
adena@adena.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

7,722 INTERNAL MEDICINE in MA

Provider Addresses for KEITH GLENN (MD)

  • 800 WASHINGTON ST

    BOSTON, MA 021111552

    Phone: (281) 748-6309

    Type: Mailing

  • 550 Mirabeau St

    Greenfield, OH 451231617

    Phone: (937) 981-9400

    Type: Location

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 539-9582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($99).

Total Amount

$172

General + Research + Ownership

Payments

2

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

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: 2026-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20180625001653IInternal MedicineOHTBD
I20221012000843IInternal MedicineTXTBD
I20241115000433IInternal MedicineOKTBD
I20250122000880IInternal MedicineGUTBD
I20260203003869IInternal MedicineCOTBD

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
99291Critical care, first 30-74 minutes2719$0
View full utilization report →

Insurance plans in this area (ZIP 02111)

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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: 3577096783View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineCO
Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease, Sleep MedicineDC
Internal MedicineNY
Internal MedicineNY
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)TX
Internal Medicine, Critical Care (Intensivists)OK
Internal MedicineOK
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineOK
Internal Medicine, Critical Care (Intensivists), Internal MedicineIL
Critical Care (Intensivists), Hospitalist, Internal MedicineOK

Reviews

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Frequently asked questions

How do payers reference KEITH GLENN (MD)?
For KEITH GLENN (MD), use NPI 1487044608 as the unique 10-digit identifier.
Is there an active status for KEITH GLENN (MD)?
For scheduling context, KEITH GLENN (MD) is shown as active in the registry.
What expertise is attributed to KEITH GLENN (MD)?
KEITH GLENN (MD)'s specialty line reads Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KEITH GLENN (MD)?
Directory geography for KEITH GLENN (MD) centers on Boston, Massachusetts.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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