Glow Wellness Care Medical PLLC
NPI 1245072909 · Nephrology Physician · East Northport, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glow Wellness Care Medical PLLC is a Nephrology Physician organization in East Northport, NY (NPI 1245072909).
Provider details
- NPI number
- 1245072909
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shahab Khan, MD(347) 476-7399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is Glow Wellness Care Medical PLLC's NPI number?
- Glow Wellness Care Medical PLLC's National Provider Identifier (NPI) is 1245072909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glow Wellness Care Medical PLLC?
- Glow Wellness Care Medical PLLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Glow Wellness Care Medical PLLC located?
- Glow Wellness Care Medical PLLC's practice location on file with NPPES is 3027 Jericho Tpke, East Northport, NY 11731-6230.
- What is Glow Wellness Care Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Glow Wellness Care Medical PLLC is (516) 665-1476.
- Does Glow Wellness Care Medical PLLC accept Medicare?
- Glow Wellness Care Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Glow Wellness Care Medical PLLC?
- The authorized official listed on Glow Wellness Care Medical PLLC's NPPES record is Shahab Khan, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glow Wellness Care Medical PLLC's NPI active?
- Yes — Glow Wellness Care Medical PLLC's NPI (1245072909) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.