Individual provider Active NPI

Glen E Sutherland, MD

  • Infectious Disease Physician
  • Plantation, FL
National Provider Identifier
1144292384
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
30881 Issued in FL
Practice address
817 S University Dr Ste 106
Plantation, FL 33324
Phone
(954) 703-9900
Fax
(954) 712-6475
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 30881 FL Primary

Addresses

Primary practice location

817 S University Dr Ste 106
Plantation, FL 33324

Mailing address

6075 NW 96 Dr
Parkland, FL 33076
Phone (954) 703-9900

Other identifiers 1

IdentifierTypeStateIssuer
037094100MedicaidFL

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
I20070214000164 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 0345242723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Rush Medical College of Rush University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
Phone (954) 320-3322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30881FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Nov 7, 2011 Accepting new patients
North Broward Hospital District CurrentSince Nov 7, 2011 Accepting new patients
Glen E Sutherland MD Facp LLC Infectious Disease Current Accepting new patients
North Broward Hospital District Current Accepting new patients
Holy Cross Hospital Inc Past Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

1600 S Andrews Ave
Fl 8
Ft Lauderdale, FL 33316
Phone (954) 712-6427

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

6405 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 771-7294

1101 NW 1st St
Ft Lauderdale, FL 33311
Phone (954) 467-0880

1625 SE 3rd Ave
Ste 623
Ft Lauderdale, FL 33316
Phone (954) 320-3322

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

817 S University Dr
Ste 106
Plantation, FL 33324
Phone (954) 723-0334

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1144292384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 NW 96 DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "33076",
            "telephone_number": "954-703-9900",
            "fax_number": "954-712-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-703-9900",
            "fax_number": "954-712-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "GLEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "30881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.