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CALEB GLASS DO
NPI 1477313211
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since March 20, 2024PECOS Enrolled
22 BRAMHALL ST, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Caleb Glass Do NPPES

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

CALEB GLASS DO (NPI 1477313211) is an individual student in an organized health care education/training program in Portland, Maine and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477313211
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALEB GLASSCredential: DO
Location Address22 BRAMHALL STPortland, ME 04102-3134
Mailing Address22 Bramhall StPortland, ME 04102-3134
Phone(207) 662-0111
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1477313211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22 BRAMHALL ST, Portland, ME 04102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Glass Do 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.

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.

SUZANNE MAYNARD CRNA
Nurse Anesthetist, Certified Registered
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY
PORTLAND, ME 04102
Cumberland County (207) 662-4562
DR. THOMAS P CHARRETTE MD
Hospitalist
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
DAVID CUENOD ERNST M.D.
Specialist
22 BRAMHALL ST, DEPT OF OB/GYN
PORTLAND, ME 04102
Cumberland County (207) 662-2166
LISA C PRENTISS PA
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
TINA G MERRILL PA-C
Physician Assistant
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-2263
MEREDITH BEAUREGARD PA
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618
NANANDA F COL MD
Internal Medicine
22 BRAMHALL ST
PORTLAND, ME 04102
Cumberland County (207) 662-4745
BLUE B BUTTERFIELD PA
Physician Assistant
22 BRAMHALL ST, PAVILION 1203
PORTLAND, ME 04102
Cumberland County (207) 662-4618

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 Caleb Glass's NPI number?

The NPI number for Caleb Glass is 1477313211. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Caleb Glass located?

Caleb Glass practices at 22 Bramhall St, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Caleb Glass's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caleb Glass enrolled in Medicare?

Yes. Caleb Glass is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caleb Glass was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.