Individual provider Active NPI

Glenn M Buyo, DO

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1326157553
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS013728 Issued in PA
Practice address
1500 E Hillsboro Blvd Ste 210
Deerfield Beach, FL 33441-4348
Phone
(954) 419-9632
Fax
(954) 419-9334
NPI assigned
Aug 30, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS013728 PA Primary

Addresses

Primary practice location

1500 E Hillsboro Blvd Ste 210
Deerfield Beach, FL 33441-4348

Mailing address

3 W Olive St
Suite 201
Scranton, PA 18508-2572
Phone (570) 961-9947

Other identifiers 1

IdentifierTypeStateIssuer
101724465MedicaidPA

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
I20160201002847 FL Practitioner - Osteopathic Manipulative Medicine 1759387103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Nova Southeastern College of Osteo Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

1500 E Hillsboro Blvd
Suite 210
Deerfield Beach, FL 33441-4348
Phone (954) 419-9632

3345 Burns Rd
Suite 302
Palm Beach Gardens, FL 33410-4321
Phone (561) 622-7661

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Claremedica Viking LLC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Primary Care Medical Associates, P.C. Past Accepting new patients
Senior Medical Associates LLC Family Medicine Past Accepting new patients

Locations

1500 E Hillsboro Blvd
Ste 210
Deerfield Beach, FL 33441
Phone (954) 419-9632

1000 NW 57th Ct
Ste 400
Miami, FL 33126

11211 SW 152nd St
Miami, FL 33157
Phone (305) 255-1355

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1326157553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W OLIVE ST",
            "address_2": "SUITE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082572",
            "telephone_number": "570-961-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HILLSBORO BLVD STE 210",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414348",
            "telephone_number": "954-419-9632",
            "fax_number": "954-419-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYO",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101724465",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.