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

Q: 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.

Q: 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.

Q: 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 19 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.

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: August 02, 2026.

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

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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)