1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Pediatrics
  6. NPI Profile

DR. KRISTI LEWIS GLOTZBACH M.D.
NPI 1124245063
Pediatrics - Pediatric Critical Care Medicine in Bronx, NY

Active since April 20, 2007PECOS Enrolled
3415 BAINBRIDGE AVE, ROSENTHAL 1, BRONX, NY 10467(718) 741-2596 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Nov 1, 2021 (2 updates tracked since 2021).

About Dr. Kristi Lewis Glotzbach M.d. NPPES

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

DR. KRISTI LEWIS GLOTZBACH M.D. (NPI 1124245063) is an individual pediatric critical care medicine provider in Bronx, New York, licensed in Utah (9792129-1205) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124245063
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. KRISTI LEWIS GLOTZBACHCredential: M.D.
Location Address3415 BAINBRIDGE AVE, ROSENTHAL 1Bronx, NY 10467-2403
Mailing Address3415 Bainbridge Ave, Rosenthal 1Bronx, NY 10467-2403 · (718) 741-2596
Phone(718) 741-2596
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateDecember 12, 20242 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1124245063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 9792129-1205
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License NY269942, (NY)
3415 BAINBRIDGE AVE, Bronx, NY 10467
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristi Lewis Glotzbach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kristi Glotzbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Services
1,967 mi
Pediatric Orthopaedic Surgery
9385 S SNOWBIRD CENTER DR
Sandy, UT 84092
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1386257152 (801) 587-7109
University Of Utah Pediatric Acuity Care
1,973 mi
Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1558723445 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 Kristi Glotzbach's NPI number?

The NPI number for Kristi Glotzbach is 1124245063. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Kristi Glotzbach located?

Kristi Glotzbach practices at 3415 Bainbridge Ave Rosenthal 1, Bronx, NY 10467. The listed phone number is (718) 741-2596.

What is Kristi Glotzbach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kristi Glotzbach enrolled in Medicare?

Yes. Kristi Glotzbach is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristi Glotzbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Glotzbach reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Sandy, UT) and University Of Utah Pediatric Acuity Care (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristi Glotzbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristi Glotzbach accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Kristi Glotzbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristi Glotzbach was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.