Glutality Provider Group, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GLUTALITY PROVIDER GROUP, P.A.

Practice address

5300 Broken Sound Blvd NW Ste 200
Boca Raton, FL 33487-3514

Phone

(561) 678-2026

Fax

(561) 423-9249

NPI assigned

Oct 10, 2019

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John M Sortino

Title

Owner

Phone

(561) 596-7517

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, GA, AL, OR, MT, SD, NC, WV, ND, MO, HI, WA, IL, TN, ID, MA, DC, VA, AZ, WY, SC, CT, VT, NM, AR, MI, MN, NY, NH, NV, MD, DE, ME, RI, UT, AK, KY37 enrollments

Enrollment records 37

Locations

Practitioners 120

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pramodini K Gosukonda, MD

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1568526242

  AL, DE, IL, MN, NH, NV, SD, UT, WI

  Medicare reassignment Care Compare group
• Robert Edward Hurd, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1720015787

  KY

  Medicare reassignment Care Compare group
• Garson K Lee

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1366504524

  NM, OR, SC, VA

  Medicare reassignment Care Compare group
• Tiffani Dawn Lemen, M.D.

  • Family Medicine Physician
  • Lewes, DE
  • NPI 1760651210

  AL, CT, DC, GA, KY, MA, MD, ME, MI, NC, NH, RI, SC, TN, VA, VT, WV

  Medicare reassignment Care Compare group
• Sachin R Parekh, M.D.

  • Emergency Medicine Physician
  • Hartford, CT
  • NPI 1285749952

  AK, AZ, HI, ID, KY, MD, MI, MO, MT, NC, ND, NH, NV, OR, SC, SD, TN, UT, VA, VT, WA, WV

  Medicare reassignment Care Compare group
• Praharsha Ravindranatha Menon, MD

  • Family Medicine Physician
  • East Point, GA
  • NPI 1265693543

  ID

  Medicare reassignment Care Compare group
• Charles F Sineri II, DO

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1639557382

  AL, GA, ID, IL, KY

  Medicare reassignment Care Compare group
• Eric David Thomas, M.D.

  • Internal Medicine Physician
  • Helena, MT
  • NPI 1528378072

  GA, ID, KY, MI, ND, NV, SD, UT

  Medicare reassignment Care Compare group
• Tony Michael Abood, D.O.

  • Family Medicine Physician
  • Eastpointe, MI
  • NPI 1194165829
  Medicare reassignment NPD
• Imran Ahmad, MD

  • Hospitalist Physician
  • Fredericksburg, VA
  • NPI 1689889511

  Internal Medicine

  Medicare reassignment NPD
• Donna Baldassare, DO

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Mateo, CA
  • NPI 1962662478

  Family Medicine, NC, VA

  Medicare reassignment NPD
• Wesam A. Bolkhir, M.D.

  • Hospitalist Physician
  • Ellsworth, ME
  • NPI 1407060189

  Internal Medicine, MO

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1083256168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 BROKEN SOUND BLVD NW STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873514",
            "telephone_number": "561-678-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BROKEN SOUND BLVD NW STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873514",
            "telephone_number": "561-678-2026",
            "fax_number": "561-423-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLUTALITY PROVIDER GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SORTINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-596-7517"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Glover, M.D.
• Glow ABA LLC
• Glowu Holdings
• Glu 1 LLC
• Jenna Gluski
• Sherildan Glynn, ARNP
• Taryn Ann Glynn, PT, DPT
• Tamara Lee Gmitter, M.D.
• Melanie Sara Gnaizda-Gilson
• Goal Behavior Inc

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.