DR. LORETTO GLYNN M.D.
NPI 1235111014
Surgery - Pediatric Surgery in Mineola, NY
About Dr. Loretto Glynn M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LORETTO GLYNN M.D. (NPI 1235111014) is an individual pediatric surgery provider in Mineola, New York, licensed in Illinois (036-083709) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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. Loretto Glynn M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Loretto Glynn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Steelville, MO 65565
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
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.
MINEOLA, NY 11501
MINEOLA, NY 11501
MINEOLA, NY 11501
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 Loretto Glynn's NPI number?
The NPI number for Loretto Glynn is 1235111014. It was assigned to this individual provider in the NPPES registry on November 16, 2005.
Where is Loretto Glynn located?
Loretto Glynn practices at 259 1st St, Mineola, NY 11501. The listed phone number is (516) 663-4600.
What is Loretto Glynn's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Loretto Glynn enrolled in Medicare?
Yes. Loretto Glynn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Loretto Glynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loretto Glynn reassigns Medicare benefits to 3 organizations: Rockford Health Physicians (Rockford, IL), Mercy Clinic Springfield Communities (Steelville, MO) and New York University (Boynton Beach, FL). 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 Loretto Glynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Loretto Glynn accept?
Health plans from Anthem Blue Cross and Blue Shield list Loretto Glynn 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 Loretto Glynn was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Loretto Glynn, M.D. · NPI 1235111014
Pediatric Surgery physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1235111014 (Entity type: Individual)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 036-083709 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 259 1ST ST, Mineola, NY 11501-3957
- **Phone:** (516) 663-4600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); Mercy Clinic Springfield Communities (NPI 1669504411, Steelville, MO); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235111014) · Data from the CMS NPPES public registry.