GLENN J. NOVAK D O INC
NPI 1205155199
Internal Medicine in Youngstown, OH

Q: What is Glenn J. Novak D O Inc's NPI number?

The NPI number for Glenn J. Novak D O Inc is 1205155199. It was assigned to this organization in the NPPES registry on May 18, 2010.

Q: What is Glenn J. Novak D O Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 18, 2010CLIA 36D0342453 · Waiver

51 WESTCHESTER DR, YOUNGSTOWN, OH 44515(330) 799-1718(330) 799-8328 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Glenn J. Novak D O Inc NPPES

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

GLENN J. NOVAK D O INC (NPI 1205155199) is a healthcare organization registered as an internal medicine in Youngstown, Ohio and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Glenn Joseph Novak, Physician, as its authorized official.

NPPES Registry Identity

NPI1205155199

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGLENN J. NOVAK D O INC

Location Address51 WESTCHESTER DRYoungstown, OH 44515-3902

Mailing Address51 Westchester DrYoungstown, OH 44515-3902 · (330) 799-1718 · Fax (330) 799-8328

Phone(330) 799-1718

Fax(330) 799-8328

Organization SubpartNo

Authorized OfficialGlenn Joseph NovakPhysician · (330) 799-1718

Enumeration DateMay 18, 2010

Last NPPES UpdateMay 24, 2010

✔ NPI 1205155199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 03058

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

51 WESTCHESTER DR, Youngstown, OH 44515

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Other Identifiers 3

Medicaid0766434OH

Medicare PIN0530663OH

Medicare UPINA80619OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn J. Novak D O Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Glenn J. Novak D O Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Glenn Novak, D.O.

Internal Medicine

NPI 1750380788

51 WESTCHESTER DR
Youngstown, OH 44515

(330) 799-1718

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0342453

Glenn J Novak Do Inc · Youngstown, OH

Active · expires Dec 14, 2026

CLIA Number36D0342453

Laboratory TypePhysician Office

Certificate Effective DateDecember 15, 2024

Certificate Expiration DateDecember 14, 2026

Laboratory DirectorGlenn J. Novak Do

Laboratory Phone(330) 799-1718

Laboratory LocationGlenn J Novak Do Inc51 Westchester Drive, Youngstown, OH 44515

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Glenn J. Novak D O Inc's NPI number?

The NPI number for Glenn J. Novak D O Inc is 1205155199. It was assigned to this organization in the NPPES registry on May 18, 2010.

Where is Glenn J. Novak D O Inc located?

Glenn J. Novak D O Inc is located at 51 Westchester Dr, Youngstown, OH 44515. The listed phone number is (330) 799-1718.

What is Glenn J. Novak D O Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glenn J. Novak D O Inc enrolled in Medicare?

Yes. Glenn J. Novak D O Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glenn J. Novak D O Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Glenn J. Novak D O Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glenn J. Novak D O Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0342453) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glenn J. Novak D O Inc was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.