JERROLD GLASSMAN,.M.D., A MEDICAL CORPORATION
NPI 1316031099
Internal Medicine - Cardiovascular Disease in San Diego, CA

Active since October 03, 2006
4060 FOURTH AVE, SUITE 650, SAN DIEGO, CA 92103(619) 819-7222(619) 299-5023 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jerrold Glassman,.m.d., A Medical Corporation NPPES

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

JERROLD GLASSMAN,.M.D., A MEDICAL CORPORATION (NPI 1316031099) is a healthcare organization registered as a cardiovascular disease in San Diego, California and active in the NPI registry since October 2006. The organization lists Jerrold Glassman, President, as its authorized official.

NPPES Registry Identity

NPI1316031099
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJERROLD GLASSMAN,.M.D., A MEDICAL CORPORATION
Location Address4060 FOURTH AVE, SUITE 650San Diego, CA 92103-2116
Mailing Address4060 Fourth Ave, Suite 650San Diego, CA 92103-2116 · (619) 819-7222 · Fax (619) 299-5023
Fax(619) 299-5023
Organization SubpartNo
Authorized OfficialJerrold GlassmanPresident · (619) 819-7222
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 4, 2010
✔ NPI 1316031099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4060 FOURTH AVE, San Diego, CA 92103

Other Identifiers 1

Medicare ID-Type UnspecifiedG34309CA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerrold Glassman,.m.d., A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100920000489Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerrold Glassman,.M.D., A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1245326883
4060 FOURTH AVE SUITE 650
San Diego, CA 92103
(619) 819-7222
✔ 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.

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 Jerrold Glassman,.M.D., A Medical Corporation's NPI number?

The NPI number for Jerrold Glassman,.M.D., A Medical Corporation is 1316031099. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Jerrold Glassman,.M.D., A Medical Corporation located?

Jerrold Glassman,.M.D., A Medical Corporation is located at 4060 Fourth Ave Suite 650, San Diego, CA 92103. The listed phone number is (619) 819-7222.

What is Jerrold Glassman,.M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jerrold Glassman,.M.D., A Medical Corporation enrolled in Medicare?

Yes. Jerrold Glassman,.M.D., A Medical Corporation is registered in the Medicare PECOS enrollment system.

When is Jerrold Glassman,.M.D., A Medical Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jerrold Glassman,.M.D., A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Jerrold Glassman,.M.D., A Medical Corporation. 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.

When was this NPI record last updated?

The NPPES record for Jerrold Glassman,.M.D., A Medical Corporation was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.