Individual provider Active NPI

Glorianna Iloff, PA-C

  • Physician Assistant
  • Benbrook, TX
National Provider Identifier
1285926063
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07296 Issued in TX
Practice address
114 Sproles Dr Ste 101
Benbrook, TX 76126-3249
Phone
(817) 249-4100
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA07296 TX Primary

Addresses

Primary practice location

114 Sproles Dr Ste 101
Benbrook, TX 76126-3249

Mailing address

114 Sproles Dr Ste 101
Benbrook, TX 76126-3249
Phone (817) 249-4100

Other names 1

  • Miss Glorianna Hunley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address giloff683058@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000521 TX Practitioner - Physician Assistant 5193999811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 890
Fort Worth, TX 76104-2145
Phone (817) 250-4280

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07296TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 1, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

114 Sproles Dr
Ste 101
Benbrook, TX 76126
Phone (214) 808-3427

3455 Locke Ave
Ste 315
Fort Worth, TX 76107
Phone (817) 336-1189

900 Jerome St
Ste 400
Fort Worth, TX 76104
Phone (817) 332-6092

1325 Pennsylvania Ave
Ste 890
Ft Worth, TX 76104
Phone (817) 250-4280

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

Interoperability endpoints

  • Direct secure messaging: giloff683058@direct.texashealth.org

Organizations & group practices 2

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1285926063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SPROLES DR STE 101",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263249",
            "telephone_number": "817-249-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SPROLES DR STE 101",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761263249",
            "telephone_number": "817-249-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILOFF",
        "first_name": "GLORIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giloff683058@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3455 Locke Ave Ste 315",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761075747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLORIANNA",
            "last_name": "HUNLEY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.