Glenn Family Medicine, LLC
NPI 1508443805 · Family Medicine Physician · Wailuku, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glenn Family Medicine, LLC is a Family Medicine Physician organization in Wailuku, HI (NPI 1508443805).
Provider details
- NPI number
- 1508443805
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Glenn, Member(808) 244-5366
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
5 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
- 2021-03-24
- Last updated
- 2022-12-09
- Certified
- 2022-12-09
Frequently asked questions
- What is Glenn Family Medicine, LLC's NPI number?
- Glenn Family Medicine, LLC's National Provider Identifier (NPI) is 1508443805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glenn Family Medicine, LLC?
- Glenn Family Medicine, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Glenn Family Medicine, LLC located?
- Glenn Family Medicine, LLC's practice location on file with NPPES is 85 Maui Lani Pkwy, Wailuku, HI 96793-2416.
- What is Glenn Family Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Glenn Family Medicine, LLC is (330) 904-9354.
- Does Glenn Family Medicine, LLC accept Medicare?
- Glenn Family Medicine, LLC 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 Glenn Family Medicine, LLC?
- The authorized official listed on Glenn Family Medicine, LLC's NPPES record is Travis Glenn, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glenn Family Medicine, LLC's NPI active?
- Yes — Glenn Family Medicine, LLC's NPI (1508443805) is active in the NPPES registry as of the last update on 2022-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.