ELIZABETH ANN MCGLOTHLIN (M.D.) – Family Medicine Physician, NPI 1124394945

ELIZABETH ANN MCGLOTHLIN (M.D.) is a healthcare provider. based in Niles, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301108540 (MI). The NPI Number for ELIZABETH ANN MCGLOTHLIN (M.D.) is 1124394945

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANN MCGLOTHLIN (M.D.)
NPI
1124394945
Phone
(269) 687-0200
Address
2002 S 11TH ST
Enumeration Date
26 March 2012
Last Update Date
25 March 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2696870200
Graduation Year
2012 (14 years ago)
PAC ID
9931414000
Group Practice PAC ID
7416942750
Professional Enrollment ID
I20150818005941
Address ID
MI491204074NI2002XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for ELIZABETH ANN MCGLOTHLIN (M.D.)

  • 2002 S 11TH ST

    NILES, MI 491204074

    Phone: (269) 687-0200

    Fax: (269) 684-0199

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,285.

Total Amount is formed as General ($1,285) + Research ($0) + Ownership ($0) = $1,285.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($174).

Total Amount

$1,285

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2015-08-18

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
I20150818005941IFamily PracticeMITBD

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 49120)

Loading plans...

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: 7416942750View full group profile
NameSpecialtyState
-MI
Clinical PsychologistPA
Family PracticeMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
Orthopedic SurgeryMI

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.

Frequently asked questions

What is ELIZABETH ANN MCGLOTHLIN (M.D.)'s NPI number?
ELIZABETH ANN MCGLOTHLIN (M.D.)'s NPI is 1124394945 — the number used across U.S. healthcare to identify this provider.
Is there an active status for ELIZABETH ANN MCGLOTHLIN (M.D.)?
For scheduling context, ELIZABETH ANN MCGLOTHLIN (M.D.) is shown as active in the registry.
What area of care is associated with ELIZABETH ANN MCGLOTHLIN (M.D.)?
ELIZABETH ANN MCGLOTHLIN (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ELIZABETH ANN MCGLOTHLIN (M.D.)?
Directory geography for ELIZABETH ANN MCGLOTHLIN (M.D.) centers on Niles, Michigan.
When was this NPI issued?
Enumeration for ELIZABETH ANN MCGLOTHLIN (M.D.) is noted as March 26, 2012 where the registry provides it.

Similar Providers

DR. PRAKASH TAUJALE SHRESTHA (M.D.)

Family Medicine Physician
4, Longmeadow Village Drive, Niles Charter Township, Berrien County, Michigan, 49120, United States
NPI: 1427045392

DR. WILLIAM JOSEPH HOUSTON (M.D.)

Emergency Medicine Physician
1007, Lincolnway, La Porte, LaPorte County, Indiana, 46350, United States
NPI: 1982692166

GLENDA M GENSOLIN (MD)

Family Medicine Physician
North Saint Joseph Avenue, Niles, Berrien County, Michigan, 49120, United States
NPI: 1033195748

DR. DOUGLAS GREGORY TACKET (D.O.)

Family Medicine Physician
4, Longmeadow Village Drive, Niles Charter Township, Berrien County, Michigan, 49120, United States
NPI: 1790764868

Family Care of Niles

Family Medicine Physician
4 LONG MEADOW VILLAGE LN
NPI: 1659343622

DR. ELLEN TAMBUNAN (M.D.)

Family Medicine Physician
Deans Hill Road, Berrien Center, Berrien Township, Berrien County, Michigan, 49102, United States
NPI: 1235102823

DR. DANIEL M METZGER (MD)

Family Medicine Physician
South 11th Street, Niles, Berrien County, Michigan, 49120, United States
NPI: 1265478192

DR. KATHERINE SUZANNE HAYWARD (MD)

Family Medicine Physician
PO BOX 458
NPI: 1457388423