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

Individual provider Colon & Rectal Surgery Physician · NPI 1346336575

Glenn L Goldstein, MD is a Colorectal Surgery (Proctology) in Fort Wayne, Indiana. Qualified in 1976, 50 years ago. Practices with Lutheran Medical Group LLC, a 250-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
50
Licensed in
IN
In the registry since
2006
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

7900 W Jefferson Blvd Ste 302
Fort Wayne, IN 46804-4128
Phone: (260) 435-1800
Fax: (260) 435-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 01039960 (IN)

Record details

NPI number1346336575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing address7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Lutheran Medical Group Llc — 250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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