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GLK ENTERPRISES, LLC
NPI 1912912734
Internal Medicine - Geriatric Medicine in Brownsville, KY

Active since July 30, 2006
104 MOHAWK STREET, BROWNSVILLE, KY 42210(270) 597-2155(270) 597-3811 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glk Enterprises, Llc NPPES

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

GLK ENTERPRISES, LLC (NPI 1912912734) is a healthcare organization registered as a geriatric medicine in Brownsville, Kentucky and active in the NPI registry since July 2006. The organization lists Sanjay Kaul, Md/president, as its authorized official.

NPPES Registry Identity

NPI1912912734
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGLK ENTERPRISES, LLC
Location Address104 MOHAWK STREETBrownsville, KY 42210
Mailing Address104 Mohawk StreetBrownsville, KY 42210 · (270) 597-2155 · Fax (270) 597-3811
Phone(270) 597-2155
Fax(270) 597-3811
Organization SubpartNo
Authorized OfficialSanjay KaulMd/president · (270) 597-2155
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912912734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in KY · 36833
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
104 MOHAWK STREET, Brownsville, KY 42210
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Other Identifiers 1

Medicaid64030224KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glk Enterprises, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Glk Enterprises, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Courtney Fazel, NP
Nurse Practitioner
NPI 1548732092
104 MOHAWK STREET
Brownsville, KY 42210
(270) 597-2155
✔ PECOSSame address
Sanjay Kaul, MD
Internal Medicine
NPI 1992777866
104 MOHAWK ST 104 MOHAWK STREET
Brownsville, KY 42210
(270) 597-2155
✔ PECOS✔ Accepts MedicareSame address
Sherry Rudnick, ARNP
Nurse Practitioner
NPI 1720266851
104 MOHAWKS ST
Brownsville, KY 42210
(270) 597-2155
✔ PECOS✔ Accepts Medicare0.1 mi
Lauren Casey, APRN
Nurse Practitioner
NPI 1891461190
255 OVERLOOK LN
Smiths Grove, KY 42171
(270) 780-4755
✔ PECOS6.3 mi
Blair Mendoza, APRN
Nurse Practitioner
NPI 1710332648
440 HIGH ST STE A
Bowling Green, KY 42101
(270) 282-7105
✔ PECOS16 mi
Jasmaine Theobald, APRN
Nurse Practitioner
NPI 1346624962
2601 KENTUCKY AVE SUITE 103
Paducah, KY 42003
(270) 415-4860
✔ PECOS✔ Accepts Medicare131 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Glk Enterprises, LLC's NPI number?

The NPI number for Glk Enterprises, LLC is 1912912734. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Glk Enterprises, LLC located?

Glk Enterprises, LLC is located at 104 Mohawk Street, Brownsville, KY 42210. The listed phone number is (270) 597-2155.

What is Glk Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Glk Enterprises, LLC enrolled in Medicare?

Yes. Glk Enterprises, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glk Enterprises, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Glk Enterprises, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Glk Enterprises, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Glk Enterprises, LLC 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 Glk Enterprises, LLC was last updated on August 22, 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.