GLENN THOMAS AULT M.D.
NPI 1295749802
Colon & Rectal Surgery in Los Angeles, CA

Q: What is Glenn Ault's NPI number?

The NPI number for Glenn Ault is 1295749802. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Glenn Ault's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Ault was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 28, 2006PECOS Enrolled

1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033(323) 865-3690 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Oct 18, 2020, Nov 20, 2018 (3 updates tracked since 2018).

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About Glenn Thomas Ault M.d. NPPES

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

GLENN THOMAS AULT M.D. (NPI 1295749802) is an individual colon & rectal surgery provider in Los Angeles, California, licensed in California (A54651) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295749802

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameGLENN THOMAS AULTCredential: M.D.

Location Address1450 SAN PABLO ST STE 6200Los Angeles, CA 90033

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3690

Phone(323) 865-3690

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration

NPPES CertifiedOctober 19, 2020

✔ NPI 1295749802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in CA · A54651

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1450 SAN PABLO ST STE 6200, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Thomas Ault 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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