Individual provider Active NPI

Danielle K Gliosca, D.O.

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1336590264
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
UO4906 Issued in FL
Practice address
1599 66TH St N
St Petersburg, FL 33710-5536
Phone
(727) 317-3388
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 UO4906 FL Primary

Addresses

Primary practice location

1599 66TH St N
St Petersburg, FL 33710-5536

Mailing address

1599 66TH St N
St Petersburg, FL 33710-5536
Phone (727) 317-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200131000944 FL Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 4789010307 Reassigns benefits to 1 organization
I20231017000168 DC Practitioner - Family Practice 4789010307 Reassigns benefits to 1 organization
I20231102003412 VA Practitioner - Family Practice 4789010307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

19500 Sandridge Way
Suite 200
Leesburg, VA 20176-3689
Phone (703) 840-7300

3300 Gallows Rd
Falls Church, VA 22042-3307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UO4906FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Aug 21, 2023 Accepting new patients
Inova Health Care Services CurrentSince Aug 21, 2023 Accepting new patients

Locations

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

19500 Sandridge Way
Ste 200
Leesburg, VA 20176
Phone (703) 840-7300

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: dgliosca1180073@soc.inova.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1336590264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105536",
            "telephone_number": "727-317-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105536",
            "telephone_number": "727-317-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIOSCA",
        "first_name": "DANIELLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO4906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.