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GLENN L NUDELMAN M.D.
NPI 1346242427
Internal Medicine in Lake Havasu City, AZ

Active since August 10, 2005PECOS Enrolled
2191 CHIP DR, LAKE HAVASU CITY, AZ 86406(928) 486-4387(928) 302-3515 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 29, 2022, Feb 10, 2022 (2 updates tracked since 2022).

About Glenn L Nudelman M.d. NPPES

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

GLENN L NUDELMAN M.D. (NPI 1346242427) is an individual internal medicine provider in Lake Havasu City, Arizona, licensed in Arizona (14122) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346242427
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGLENN L NUDELMANCredential: M.D.
Location Address2191 CHIP DRLake Havasu City, AZ 86406-7645
Mailing Address2191 Chip DrLake Havasu City, AZ 86406-7645 · (928) 486-4387 · Fax (928) 302-3515
Phone(928) 486-4387
Fax(928) 302-3515
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 29, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1346242427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 14122✔ Licensed in AZ · AN14122
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSpecialistTaxonomy 174400000X · License 14122 (AZ)
2191 CHIP DR, Lake Havasu City, AZ 86406
Open in Google Maps ↗

Other Identifiers 1

Other110044210AZ · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn L Nudelman 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 Reassignments

3

Medicare enrollment records show Glenn Nudelman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Internal Medicine PLLC
1.1 mi
Internal Medicine
1840 MESQUITE AVE STE B
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1619019049 (928) 453-8500
Hrmc, LLC
1.2 mi
Nurse Practitioner
1851 MESQUITE AVE, SUITE 202
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 70 clinicians in this Medicare group
NPI 1891155974 (928) 854-0094
Apogee Medical Group Inc
1.3 mi
Internal Medicine
101 CIVIC CENTER LN
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group
NPI 1760652218 (928) 855-8185

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 86406 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%28 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
55%20 patients3/55-star benchmark: 95%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Nudelman's NPI number?

The NPI number for Glenn Nudelman is 1346242427. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Glenn Nudelman located?

Glenn Nudelman practices at 2191 Chip Dr, Lake Havasu City, AZ 86406. The listed phone number is (928) 486-4387.

What is Glenn Nudelman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glenn Nudelman enrolled in Medicare?

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

Which organizations bill Medicare for Glenn Nudelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Nudelman reassigns Medicare benefits to 3 organizations: Midwest Internal Medicine PLLC (Lake Havasu City, AZ), Hrmc, LLC (Lake Havasu City, AZ) and Apogee Medical Group Inc (Lake Havasu City, AZ). 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 Glenn Nudelman'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 Nudelman was last updated on July 29, 2022. 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.