MR. ERIC WALLACE GLISSMEYER MD
NPI 1245490424
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT
About Mr. Eric Wallace Glissmeyer Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ERIC WALLACE GLISSMEYER MD (NPI 1245490424) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (7891781-1205) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Eric Wallace Glissmeyer 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.
Medicare Billing Reassignments
2Medicare enrollment records show Eric Glissmeyer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 202 clinicians in this Medicare group
Salt Lake City, UT 84112
- Reassigned Medicare billing, Utah enrollment
- 3,691 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
SALT LAKE CITY, UT 84108
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 Eric Glissmeyer's NPI number?
The NPI number for Eric Glissmeyer is 1245490424. It was assigned to this individual provider in the NPPES registry on June 11, 2008.
Where is Eric Glissmeyer located?
Eric Glissmeyer practices at 295 Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7450.
What is Eric Glissmeyer's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Eric Glissmeyer enrolled in Medicare?
Yes. Eric Glissmeyer 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.
Which organizations bill Medicare for Eric Glissmeyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eric Glissmeyer reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and Ihc Health Services (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 Eric Glissmeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Eric Glissmeyer was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Eric Wallace Glissmeyer, MD · NPI 1245490424
Pediatric Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 11, 2008.
## Identity
- **NPI:** 1245490424 (Entity type: Individual)
- **Enumerated:** June 11, 2008
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 7891781-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 295 CHIPETA WAY, Salt Lake City, UT 84108-1287
- **Phone:** (801) 587-7450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Pediatric Acuity Care (NPI 1558723445, Salt Lake City, UT); Ihc Health Services (NPI 1336263888, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** December 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245490424) · Data from the CMS NPPES public registry.