Glen Medellin, M.D.
NPI 1689686610 · Pediatric Hospice and Palliative Medicine Physician · San Antonio, TX
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Glen Medellin, M.D. is a Pediatric Hospice and Palliative Medicine Physician provider in San Antonio, TX (NPI 1689686610).
Provider details
- NPI number
- 1689686610
- Entity type
- Individual
- Primary specialty
- Pediatric Hospice and Palliative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- K3796 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4502 Medical DrSan Antonio, TX 78229-4402Phone: (210) 358-4000
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Glen Medellin's NPI number?
- Glen Medellin's National Provider Identifier (NPI) is 1689686610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Medellin's specialty?
- Glen Medellin is listed in the NPPES registry with a primary specialty of Pediatric Hospice and Palliative Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Glen Medellin located?
- Glen Medellin's practice location on file with NPPES is 903 W Martin St, San Antonio, TX 78207-0903.
- What is Glen Medellin's phone number?
- The practice phone number listed in the NPPES registry for Glen Medellin is (210) 358-9658.
- Does Glen Medellin accept Medicare?
- Glen Medellin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Glen Medellin's NPI active?
- Yes — Glen Medellin's NPI (1689686610) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.