GLENDA H GRAWE (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1417925363
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GLENDA H GRAWE (MD)
11862 BLACKLAND RD
WILLIS, TX 773186980
Phone: (763) 439-3390
Type: Mailing
5219 CITY BANK PKWY STE 35
LUBBOCK, TX 794073545
Phone:
Type: Mailing
65-1190 Mamalahoa Hwy
Kamuela, HI 967438431
Phone: (808) 731-8641
Fax: (808) 209-8210
Type: Location
53-3925 AKONI PULE HWY
KAPA'AU, HI 96755
Phone: (808) 889-6236
Fax: (808) 889-0107
Type: Location
602 Indiana Ave
Lubbock, TX 794153364
Phone: (806) 775-9700
Type: Location
45-549 PLUMERIA ST
HONOKAA, HI 967276902
Phone: (808) 775-7204
Fax: (808) 775-9404
Type: Location
24847 FASSLER CIR
CHUGIAK, AK 995675767
Phone: (763) 439-3390
Type: Mailing
Texas Children's Hospital, 6621, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
MC 1-1481
HOUSTON, TX 770302399
Phone: (832) 824-5497
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: 2019-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041108000476 | I | Pediatric Medicine | MN | TBD |
| I20070306000123 | I | Pediatric Medicine | TX | TBD |
| I20190716003252 | I | Pediatric Medicine | AK | TBD |
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.
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 77318)
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