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GLEN COULOMB MD
NPI 1396705489
Surgery - Vascular Surgery in Naperville, IL

Active since March 24, 2006PECOS Enrolled
801 S WASHINGTON ST, NAPERVILLE, IL 60540(630) 281-2670(815) 327-2475 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Glen Coulomb Md NPPES

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

GLEN COULOMB MD (NPI 1396705489) is an individual vascular surgery provider in Naperville, Illinois, licensed in Illinois (036063012) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396705489
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameGLEN COULOMBCredential: MD
Location Address801 S WASHINGTON STNaperville, IL 60540-7430
Mailing Address1919 S Highland Ave, Ste B202Lombard, IL 60148-6153 · (630) 873-7305 · Fax (630) 416-3189
Phone(630) 281-2670
Fax(815) 327-2475
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateFebruary 22, 2011
✔ NPI 1396705489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IL · 036063012
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
801 S WASHINGTON ST, Naperville, IL 60540
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINL63828
Medicare ID-Type UnspecifiedK36122IL · Medicare Provider Number
Other02215038IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glen Coulomb Md 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

2

Medicare enrollment records show Glen Coulomb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward Hospital
0.4 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450
Advocate Health And Hospitals Corporation
8.6 mi
Cardiovascular Disease
3825 HIGHLAND AVE, TOWER 2 SUITE 400
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1285903849 (630) 719-4799

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 60540 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

DR. HAFEZ M. SAMI M.D.
Pain Medicine (Interventional Pain Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 348-3300
MICHAEL J. HARTMANN MD
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
SEEMA ISHAQ JEELANI D.O.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
CORTNEY COLE MD
Family Medicine (Hospice and Palliative Medicine)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3000
EDWARD HOSPITAL
General Acute Care Hospital
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 655-0450
DR. HODA A. EL- ASMAR MD
Internal Medicine (Infectious Disease)
801 S WASHINGTON ST, EDWARD HOSPITAL, ADMINISTRATION, VPMA OFFICE
NAPERVILLE, IL 60540
Dupage County (630) 527-5647
AMAAR MASOOD MALIK DO
Radiology (Diagnostic Radiology)
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3200
DR. SANGITA RANGALA M.D.
Emergency Medicine
801 S WASHINGTON ST
NAPERVILLE, IL 60540
Dupage County (630) 527-3288

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 Glen Coulomb's NPI number?

The NPI number for Glen Coulomb is 1396705489. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Glen Coulomb located?

Glen Coulomb practices at 801 S Washington St, Naperville, IL 60540. The listed phone number is (630) 281-2670.

What is Glen Coulomb's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Glen Coulomb enrolled in Medicare?

Yes. Glen Coulomb is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Glen Coulomb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glen Coulomb reassigns Medicare benefits to 2 organizations: Edward Hospital (Naperville, IL) and Advocate Health And Hospitals Corporation (Downers Grove, IL). 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 Glen Coulomb'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 Glen Coulomb was last updated on February 22, 2011. 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.