Individual provider Active NPI

Sean Thomas Gloth, MD

  • Cardiovascular Disease Physician
  • Columbia, MD
National Provider Identifier
1376538934
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0032778 Issued in MD
Practice address
10700 Charter Dr Ste 200
Columbia, MD 21044-3629
Phone
(410) 715-0108
Fax
(410) 995-3681
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0032778 MD Primary

Addresses

Primary practice location

10700 Charter Dr Ste 200
Columbia, MD 21044-3629

Mailing address

10700 Charter Dr
Ste 200
Columbia, MD 21044-3629
Phone (410) 715-0108

Other identifiers 1

IdentifierTypeStateIssuer
0644821300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101220000041 MD Practitioner - Cardiovascular Disease (Cardiology) 3870529175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interactive Software in Medicine IncGroup PAC ID 3476506866, 2 clinicians

Practice addresses (Care Compare)

10700 Charter Dr
Suite 200
Columbia, MD 21044-3687
Phone (410) 715-0108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.11 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Interactive Software in Medicine Inc Cardiovascular Disease CurrentSince Nov 1, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10700 Charter Dr
Ste 200
Columbia, MD 21044
Phone (410) 715-0108

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

Interoperability endpoints

  • Direct secure messaging: sean.gloth.1@32105.direct.athenahealth.com
  • Direct secure messaging: sgloth53079@direct.hopkinsmedicine.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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1376538934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR",
            "address_2": "STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "410-715-0108",
            "fax_number": "410-995-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CHARTER DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443629",
            "telephone_number": "410-715-0108",
            "fax_number": "410-995-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOTH",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0032778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644821300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.