Individual provider Active NPI

Glendalyz Alberto, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
National Provider Identifier
1366733719
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
261576 Issued in NY
Practice address
701 E FM 1626 Ste 100
Austin, TX 78748-6075
Phone
(855) 481-8375
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 261576 NY Primary

Addresses

Primary practice location

701 E FM 1626 Ste 100
Austin, TX 78748-6075

Mailing address

5235 Overpass Rd Ste 100
Buda, TX 78610-9753
Phone (512) 504-0888

Other practice location 1

505 W Louis Henna Blvd Ste 100
Austin, TX 78728-1702
Phone (855) 841-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130826000674 NY Practitioner - Internal Medicine 7113160078 Reassigns benefits to 2 organizations
I20210121001944 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 7113160078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harbor Health Medical GroupGroup PAC ID 8921482597, 46 clinicians

Practice addresses (Care Compare)

505 W Louis Henna Blvd
Suite 100
Austin, TX 78728-1702
Phone (855) 481-8375

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, Austin, TX, CCN 747786
  • Pam Health at Home Home health agency, Buda, TX, CCN 747688
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261576NYMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sop Medical PC CurrentSince May 1, 2013 Accepting new patients
Harbor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Jerome Medical P.C. CurrentSince Sep 1, 2019 Accepting new patients
Gramercy Cardiac Diagnostic Services, P.C. Past Accepting new patients

Locations

10211 Roosevelt Ave
Ste 4
Corona, NY 11368
Phone (718) 898-1386

701 E FM 1626
Ste 100
Austin, TX 78748
Phone (512) 777-0884

911 W 38th St
Ste 101
Austin, TX 78705
Phone (512) 600-2888

505 W Louis Henna Blvd
Ste 100
Austin, TX 78728
Phone (512) 252-1505

177 Kirkham Cir
Kyle, TX 78640
Phone (512) 405-0077

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glendalyz.alberto.1@28292.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1366733719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 OVERPASS RD STE 100",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109753",
            "telephone_number": "512-504-0888",
            "fax_number": "125-040-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E FM 1626 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486075",
            "telephone_number": "855-481-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Louis Henna Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787281702",
            "country_code": "US",
            "telephone_number": "855-841-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERTO",
        "first_name": "GLENDALYZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "261576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.