GLENN MARK FISCHBERG (MD) – Neurology Physician, NPI 1093784951

GLENN MARK FISCHBERG (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in NEUROLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. G83991 (CA). The NPI Number for GLENN MARK FISCHBERG (MD) is 1093784951

Main info

Male
33 Years Of Experience
Name
GLENN MARK FISCHBERG (MD)
NPI
1093784951
Phone
(702) 731-8115
Address
3131 LACANADA STREET
Enumeration Date
14 March 2006
Last Update Date
16 August 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9514864460
Graduation Year
1993 (33 years ago)
PAC ID
1759398571
Group Practice PAC ID
7315900644
Professional Enrollment ID
I20120629000448
Address ID
CA923241801CO400XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

165 NEUROLOGY in NV

Provider Addresses for GLENN MARK FISCHBERG (MD)

  • 3131 LACANADA STREET

    SUITE 101

    LAS VEGAS, NV 891692592

    Phone: (702) 731-8115

    Fax: (702) 784-7844

    Type: Location

  • 1150 N Indian Canyon Dr

    Palm Springs, CA 922624872

    Phone: (760) 323-6511

    Type: Location

  • 31700 TEMECULA PKWY

    TEMECULA, CA 925925896

    Phone: (951) 331-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-04-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120629000448INeurologyCATBD
I20230421001178IInternal MedicineAZTBD

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 89169)

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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: 7315900644View full group profile
NameSpecialtyState
N E U R O L O G YCA
N E U R O S U R G E R YCA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA

Reviews

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Frequently asked questions

Where can patients find GLENN MARK FISCHBERG (MD)'s NPI?
You can confirm GLENN MARK FISCHBERG (MD) with NPI 1093784951; it appears in the national provider directory.
Is GLENN MARK FISCHBERG (MD)'s NPI currently valid?
The extract we use shows GLENN MARK FISCHBERG (MD) as active.
Can you summarize GLENN MARK FISCHBERG (MD)'s specialty in plain language?
Clinically, the directory lists GLENN MARK FISCHBERG (MD) with Neurology Physician. Clinical services aligned with this taxonomy classification.
Where is GLENN MARK FISCHBERG (MD)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for GLENN MARK FISCHBERG (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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