GLENN ROUTHOUSKA (D.O.) – Family Medicine Physician, NPI 1821091703

Family Medicine Physician

GLENN ROUTHOUSKA (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. J1031 (TX). The NPI Number for GLENN ROUTHOUSKA (D.O.) is 1821091703

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

GLENN ROUTHOUSKA (D.O.)

NPI

1821091703

Phone

(903) 324-6400

Address

PO BOX 846098

Enumeration Date

24 May 2005

Last Update Date

16 July 2020

Doctor Profile

Medical School Name

KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED

Secondary Phone

9035101186

Graduation Year

1988 (38 years ago)

PAC ID

1456353275

Group Practice PAC ID

3072426741

Professional Enrollment ID

I20070224000173

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:21State licenses:1Digital endpointsOther names

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Provider Addresses for GLENN ROUTHOUSKA (D.O.)

Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752846098
Phone: (903) 324-6400
Type: Mailing
Loop 256, Palestine, Anderson County, Texas, 75801, United States
PALESTINE, TX 758016901
Phone: (903) 723-0330
Type: Location
106 N Keechi St
Fairfield, TX 758404226
Phone: (903) 389-6112
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 75284)

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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: 3072426741View full group profile

Name	Specialty	State
ALEX BRYAN OLSEN (M.D.)	General Surgery	AZ
TATE JAMES PERQUE (PA-C)	Physician Assistant	TX
ZEHRA HUSSAIN (DO)	Internal Medicine	TX
JACOB G THOELE (AGACNP-C)	Nurse Practitioner	TX
JERI SWAIM BROWN (FNP)	Nurse Practitioner	TX
DR. JOHN W SCROGGINS (MD)	-	TX
NEELIMA CHINTAPALLI (M.D.)	Hematology/Oncology, Internal Medicine	TX
DR. AMANDA NICOLE LONG (D.O.)	E N D O C R I N O L O G Y	TX
MS. ERICA O SALAMI (NP)	Nurse Practitioner	IL
FATIMA KHAN (M.D.)	-	NC