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

Q: 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.

Q: What is Glen Coulomb's specialty?

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

Q: 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.

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: August 09, 2026.

On this page

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

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Other Identifiers 3

Medicare UPINL63828

Medicare ID-Type UnspecifiedK36122IL · Medicare Provider Number

Other02215038IL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

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.

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.

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.