Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glen A. Medellin, MD

Individual provider Pediatrics Physician · NPI 1689686610

Glen A. Medellin, MD is a Pediatric Medicine in San Antonio, Texas. Graduated from University of Texas Medical Branch at Galveston in 1994, 32 years ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

903 W Martin St
San Antonio, TX 78207-0903
Phone: (210) 358-9658
Fax: (210) 358-3450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Pediatric Hospice and Palliative Medicine Physician (primary) Taxonomy 2080H0002X · Licence K3796 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence K3796 (TX)

Record details

NPI number1689686610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1994 (32 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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