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

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: November 01, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Glenn Ault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc
0.1 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

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

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.

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.

SARAH KIM PA-C
Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
ELIZABETH CHANG PAC-C
Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
DR. CHRISTINE HSIEH M.D.
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3690
JIHYUN LEE PA-C
Physician Assistant (Medical)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3690
AZADEH AZARBAYEJANI CARR M.D.
Surgery (Surgical Oncology)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
DR. KYLE G COLOGNE M.D.
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3690
DR. SEAN CONOR WIGHTMAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
JAMES DIEN TU NGUYEN MD
Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062

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 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.

Where is Glenn Ault located?

Glenn Ault practices at 1450 San Pablo St Ste 6200, Los Angeles, CA 90033. The listed phone number is (323) 865-3690.

What is Glenn Ault's specialty?

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

Is Glenn Ault enrolled in Medicare?

Yes. Glenn Ault is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Ault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Ault reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The 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 Glenn Ault'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 Glenn Ault was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.