Individual provider Active NPI

Glenn A Pfaff, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1093810780
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0037152 Issued in FL
Practice address
102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100
Phone
(407) 447-2273
Fax
(407) 218-4621
NPI assigned
Sep 14, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0037152 FL Primary

Addresses

Primary practice location

102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100

Mailing address

102 W Pineloch Ave Ste 11
Orlando, FL 32806-6100
Phone (407) 447-2273

Other identifiers 2

IdentifierTypeStateIssuer
067116900MedicaidFL
110972OtherAETNA US HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000403 FL Practitioner - Internal Medicine 6608023833 Reassigns benefits to 2 organizations
Practice locations: Orlando, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Healthcare of Orlando IncGroup PAC ID 3274564737, 5 clinicians

Practice addresses (Care Compare)

102 W Pineloch Ave
Suite 11
Orlando, FL 32806-6100
Phone (407) 447-2273

2014 S Orange Ave
Suite 200
Orlando, FL 32806-3069

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0037152FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Healthcare of Orlando Inc Internal Medicine CurrentSince Feb 4, 2017 Accepting new patients
Access Ipc LLC Internal Medicine CurrentSince Feb 11, 2026 Accepting new patients
Dr. Glenn a. Pfaff Internal Medicine PastSince Jul 1, 1966 Accepting new patients

Locations

102 W Pineloch Ave
Ste 11
Orlando, FL 32806
Phone (407) 423-4761

2014 S Orange Ave
Ste 200
Orlando, FL 32806
Phone (407) 423-4761

Interoperability endpoints

  • Direct secure messaging: glenn.pfaff.1@33019.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1093810780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-447-2273",
            "fax_number": "407-218-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PINELOCH AVE STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066100",
            "telephone_number": "407-447-2273",
            "fax_number": "407-218-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0037152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067116900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH",
            "identifier": "110972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.