GLEN S. NI MD
NPI 1043206048
Anesthesiology in Stoughton, MA

Active since September 25, 2005PECOS EnrolledAccepts Medicare Assignment
907 SUMNER ST, GUARDIAN ANESTHESIA INC, STOUGHTON, MA 02072(781) 344-2325(781) 341-8544 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen S. Ni Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN S. NI MD (NPI 1043206048) is an individual anesthesiology provider in Stoughton, Massachusetts, licensed in Massachusetts (228264) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of University Of Michigan Medical School (2002).

NPPES Registry Identity

NPI1043206048
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameGLEN S. NICredential: MD
Location Address907 SUMNER ST, GUARDIAN ANESTHESIA INCStoughton, MA 02072
Mailing Address907 Sumner St, Suite M201 Guardian Anesthesia IncStoughton, MA 02072 · (781) 344-2325 · Fax (781) 341-8544
Fax(781) 341-8544
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2002
Enumeration DateSeptember 25, 2005
Last NPPES UpdateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1043206048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in MA · 228264 Licensed in NY · 230098
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
907 SUMNER ST, Stoughton, MA 02072

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Glen S. Ni Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355343476
PECOS Enrollment IDI20070202000175
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
30 services30 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients
Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter 64416
This procedure involves injecting a numbing agent, often combined with a steroid, into the nerve bundle in your arm. It's typically done via continuous infusion. The aim is to manage pain and reduce inflammation, enhancing your comfort and recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
907 SUMNER ST, SUITE M201
STOUGHTON, MA 02072
Specialist
907 SUMNER ST, M201
STOUGHTON, MA 02072
Internal Medicine
907 SUMNER ST, SUITE 202
STOUGHTON, MA 02072
Specialist
907 SUMNER ST, M201
STOUGHTON, MA 02072
Registered Nurse
907 SUMNER ST, SUITE M201
STOUGHTON, MA 02072
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
907 SUMNER ST, SUITE M107
STOUGHTON, MA 02072
Pediatrics
907 SUMNER ST, SUITE M102
STOUGHTON, MA 02072
Pediatrics
907 SUMNER ST, SUITE M-102
STOUGHTON, MA 02072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Ni's NPI number?

The NPI number for Glen Ni is 1043206048. It was assigned to this individual provider in the NPPES registry on September 25, 2005.

Where is Glen Ni located?

Glen Ni practices at 907 Sumner St Guardian Anesthesia Inc, Stoughton, MA 02072. The listed phone number is (781) 344-2325.

What is Glen Ni's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Glen Ni enrolled in Medicare?

Yes. Glen Ni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Glen Ni affiliated with any hospitals?

According to CMS data, Glen Ni is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Glen Ni was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.