Active NPI
Jose Antonio Torres Gluck, MD
- Neurological Surgery Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME115238
- Practice address
- 1325 Lakeland Hills Blvd
Lakeland, FL 33805-4544 - Phone
- (863) 603-6542
- Fax
- (863) 603-6529
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME115238 | FL | Primary |
Addresses
Primary practice location
1325 Lakeland Hills Blvd
Lakeland, FL 33805-4544
Mailing address
PO Box 917770
WP-522
Orlando, FL 32891-7770
Phone (863) 603-6542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008657200 | Medicaid | DE | |
| 14P6S | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1324 Lakeland Hill Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100
2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 821-8038
2 Tampa General Circle
4TH Floor
Tampa, FL 33606-3603
Phone (813) 821-8038
Hospital & facility affiliations
- Lakeland Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 21 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115238 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Neurological Surgery | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Atlanta Neurosurgical Associates, P.a. | Neurological Surgery | Past | Accepting new patients |
| New York Neuroscience Institute PC | Neurological Surgery | Past | Accepting new patients |
Locations
1325 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-1500
2 Tampa General Cir
Fl 3
Tampa, FL 33606
Phone (813) 259-0600
12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 844-4103
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- jtorresgluck92308@direct.tgh.org
Organizations & group practices 7
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
-
- Neurological Surgery Physician
- Decatur, GA
- NPI 1164503132
-
- Neurological Surgery Physician
- Bronx, NY
- NPI 1932115565
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1215048517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"address_2": "WP-522",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328917770",
"telephone_number": "863-603-6542",
"fax_number": "863-603-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054544",
"telephone_number": "863-603-6542",
"fax_number": "863-603-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES GLUCK",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME115238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008657200",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14P6S",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.