JOEL D GLICKMAN (MD) – Nephrology Physician, NPI 1124027727

JOEL D GLICKMAN (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 044118L (PA). The NPI Number for JOEL D GLICKMAN (MD) is 1124027727

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOEL D GLICKMAN (MD)
NPI
1124027727
Phone
(215) 662-2638
Address
3400 CIVIC CENTER BLVD
Enumeration Date
18 July 2005
Last Update Date
2 September 2015

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Secondary Phone
2156622638
Graduation Year
1982 (44 years ago)
PAC ID
3274625538
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20070816000743
Address ID
PA191044228PH3400XBUIL601
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

738 NEPHROLOGY in PA

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Provider Addresses for JOEL D GLICKMAN (MD)

  • Scheie Eye Institute, 3400, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    1ST FLOOR, SUITE 300 S

    PHILADELPHIA, PA 191044306

    Phone: (215) 662-2638

    Fax: (215) 349-5703

    Mailing address matches the actual address.

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: 2007-08-16

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
I20070816000743INephrologyPATBD

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
90966Home dialysis services per month (20 years or older)15424$0
99215Established patient office or other outpatient visit, 40-54 minutes5438$0
99214Established patient office or other outpatient visit, 30-39 minutes3728$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for JOEL D GLICKMAN (MD) in U.S. healthcare records?
The official identifier for JOEL D GLICKMAN (MD) is NPI 1124027727.
Active or inactive — what applies to JOEL D GLICKMAN (MD)?
You should see JOEL D GLICKMAN (MD) as active in CMS-hosted NPPES data.
What kind of doctor is JOEL D GLICKMAN (MD)?
JOEL D GLICKMAN (MD) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is JOEL D GLICKMAN (MD) registered?
Use Philadelphia, Pennsylvania as the headline location for JOEL D GLICKMAN (MD) here.
When was this NPI issued?
Enumeration for JOEL D GLICKMAN (MD) is noted as July 18, 2005 where the registry provides it.

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