Individual provider Active NPI

Glenn H Osterweil, D.P.M.

  • Podiatrist
  • Clermont, FL
National Provider Identifier
1154469187
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2136 Issued in FL
Practice address
2560 E Hwy 50 Ste 106
Clermont, FL 34711-8411
Phone
(407) 900-7259
Fax
(352) 877-4182
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2136 FL Primary

Addresses

Primary practice location

2560 E Hwy 50 Ste 106
Clermont, FL 34711-8411

Mailing address

2560 E Hwy 50 Ste 106
Clermont, FL 34711-8411
Phone (407) 900-7259

Other identifiers 3

IdentifierTypeStateIssuer
055217800MedicaidFL
480032681OtherFLRAILROAD MEDICARE
055217801MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000481 FL Practitioner - Podiatry 4789641366 Reassigns benefits to 1 organization
Practice locations: Clermont, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KG Health Partners IncGroup PAC ID 7214820976, 19 clinicians

Practice addresses (Care Compare)

6021 142ND Ave N
Clearwater, FL 33760-2822
Phone (727) 796-6900

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2766
Removal or shaving of skin growth415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2136FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
KG Health Partners, Inc Podiatrist CurrentSince Sep 23, 2019 Accepting new patients

Locations

6021 142nd Ave N
Clearwater, FL 33760
Phone (727) 431-4850

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1154469187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 E HWY 50 STE 106",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118411",
            "telephone_number": "407-900-7259",
            "fax_number": "352-877-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E HWY 50 STE 106",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118411",
            "telephone_number": "407-900-7259",
            "fax_number": "352-877-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERWEIL",
        "first_name": "GLENN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055217800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032681",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055217801",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.