Active NPI
Jaime M Glorioso, M.D.
- Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD468151
- Practice address
- 1100 Walnut St FL 5
Philadelphia, PA 19107 - Phone
- (215) 955-6750
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D84078 | MD | |
| Surgery Physician | 208600000X | 54114 | MN | |
| Surgery Physician | 208600000X | MD468151 | PA | Primary |
Addresses
Primary practice location
1100 Walnut St FL 5
Philadelphia, PA 19107
Mailing address
1100 Walnut St FL 5
Philadelphia, PA 19107-4944
Phone (215) 955-6750
Other practice location 1
720 Rutland Ave # Ross765
Baltimore, MD 21205-2109
Phone (410) 502-5198
Other practice location 2
833 Chestnut St Ste 138
Philadelphia, PA 19107-4401
Phone (888) 855-6649
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Other names 1
- Jaime M Bucher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- General Surgery
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Walnut St
Mob 5TH Floor
Philadelphia, PA 19107-5563
Phone (215) 955-6750
Hospital & facility affiliations
- Thomas Jefferson University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D84078 | MD | MD | Surgery Physician |
| 54114 | MN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Surgery | Current | Accepting new patients |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1100 Walnut St
Ste 500
Philadelphia, PA 19107
Phone (215) 955-6750
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
1100 Walnut St
Fl 5
Philadelphia, PA 19107
Phone (215) 955-6750
1101 Chestnut St
#11
Philadelphia, PA 19107
833 Chestnut St
Ste 138
Philadelphia, PA 19107
Phone (888) 855-6649
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1225340615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WALNUT ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074944",
"telephone_number": "215-955-6750",
"fax_number": "215-923-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WALNUT ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19107",
"telephone_number": "215-955-6750"
}
],
"practiceLocations": [
{
"address_1": "720 Rutland Ave # Ross765",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212052109",
"country_code": "US",
"telephone_number": "410-502-5198",
"fax_number": "410-502-1415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "833 Chestnut St Ste 138",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074401",
"country_code": "US",
"telephone_number": "888-855-6649",
"fax_number": "215-503-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLORIOSO",
"first_name": "JAIME",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D84078",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "54114",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD468151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "BUCHER",
"middle_name": "M",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.