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DR. GLENN JOSEPH FENNELLY
NPI 1538220678
Pediatrics - Pediatric Infectious Diseases in Bronx, NY

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-3060(718) 918-4469 Get Directions Write a Review

NPPES record last updated: July 2, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Glenn Joseph Fennelly NPPES

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

DR. GLENN JOSEPH FENNELLY (NPI 1538220678) is an individual pediatric infectious diseases provider in Bronx, New York, licensed in Texas (S7213) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Paso, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1538220678
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. GLENN JOSEPH FENNELLY
Location Address1400 PELHAM PKWY SBronx, NY 10461-1138
Mailing Address440 Raynolds StEl Paso, TX 79905-1613 · (915) 215-4480 · Fax (915) 215-5386
Phone(718) 918-3060
Fax(718) 918-4469
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 2, 2020
NPPES CertifiedJuly 2, 2020
✔ NPI 1538220678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in TX · S7213
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License S7213 (TX), 177223-1 (NY)
1400 PELHAM PKWY S, Bronx, NY 10461
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Secondary Practice Location 1

Location 14801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 215-5700 · Fax (915) 215-8872

Other Identifiers 1

Medicaid01484248MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Glenn Joseph Fennelly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416267927
PECOS Enrollment IDI20200708002041
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.

CAROLYN COLE
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5820
RYAN JOHNY PHARM. D
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-4557
DR. SARAH G JAMISON MD
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
SWETHA PEDAVALLY M.D
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Bronx County (718) 918-7460
MS. ODESSA FYNN CM
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Bronx County (718) 918-3060
DR. PATRICK SPENCER EIBEN M.D.
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Bronx County (718) 918-5820
DR. ADAM JOSEPH GERSHON MD
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000
EDIRICARDO RODRIGUEZ ORTIZ MD
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461
Bronx County (718) 918-5000

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 Fennelly's NPI number?

The NPI number for Glenn Fennelly is 1538220678. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Glenn Fennelly located?

Glenn Fennelly practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-3060.

What is Glenn Fennelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Glenn Fennelly enrolled in Medicare?

Yes. Glenn Fennelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glenn Fennelly accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Glenn Fennelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Fennelly was last updated on July 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.