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GLEN A. MEDELLIN M.D.
NPI 1689686610
Pediatrics - Hospice and Palliative Medicine in San Antonio, TX

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
903 W MARTIN ST, SAN ANTONIO, TX 78207(210) 358-9658(210) 358-3450 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Jun 5, 2024, Dec 22, 2015 (3 updates tracked since 2015).

About Glen A. Medellin M.d. NPPES

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

GLEN A. MEDELLIN M.D. (NPI 1689686610) is an individual hospice and palliative medicine provider in San Antonio, Texas, licensed in Texas (K3796) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1689686610
Entity TypeIndividualMale
Primary Taxonomy2080H0002X
Provider Legal NameGLEN A. MEDELLINCredential: M.D.
Location Address903 W MARTIN STSan Antonio, TX 78207-0903
Mailing AddressPo Box 87San Antonio, TX 78291-0087 · (210) 358-9172 · Fax (210) 358-9183
Phone(210) 358-9658
Fax(210) 358-3450
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1689686610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080H0002X
License✔ Licensed in TX · K3796
Definition
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedPediatricsTaxonomy 208000000X · License K3796 (TX)
903 W MARTIN ST, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000

Other Identifiers 4

Other125095309TX · Medicaid Cshcn
Medicaid125095307TX
Medicaid125095308TX
Other125095307TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.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

Glen A. Medellin M.d. 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 ID143292680
PECOS Enrollment IDI20040806000374
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

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.

MRS. DENISE ANN FLORES LCSW
Social Worker (Clinical)
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-5906
SHANNON MCGEARY CHAPPEL MD
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
DIANA BECKMANN-MENDEZ FNP
Nurse Practitioner
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3985
MONIKA KARKI
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
AMELIA ORANDAY MEDRANO CHW
Community Health Worker
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3985
DR. ANISA LEELA SOOKHOO MD
Student in an Organized Health Care Education/Training Program
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582
ROBERT SANDERS DO
Pediatrics
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-5437
LAUREN A. GARCIA MS
Genetic Counselor, MS
903 W MARTIN ST
SAN ANTONIO, TX 78207
Bexar County (210) 358-3582

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 Medellin's NPI number?

The NPI number for Glen Medellin is 1689686610. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Glen Medellin located?

Glen Medellin practices at 903 W Martin St, San Antonio, TX 78207. The listed phone number is (210) 358-9658.

What is Glen Medellin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.

Is Glen Medellin enrolled in Medicare?

Yes. Glen Medellin 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 Glen Medellin accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Glen Medellin 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.

Is Glen Medellin affiliated with any hospitals?

According to CMS data, Glen Medellin is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Glen Medellin was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.