Individual provider Active NPI

Glenn M Collins, M.D.

  • Obstetrics & Gynecology Physician
  • Wellington, FL
National Provider Identifier
1417912569
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME55486 Issued in FL
Practice address
1395 S State Road 7
Suite 450
Wellington, FL 33414-9325
Phone
(561) 798-1233
Fax
(561) 798-1655
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME55486 FL Primary

Addresses

Primary practice location

1395 S State Road 7
Suite 450
Wellington, FL 33414-9325

Mailing address

1395 S State Road 7
Suite 450
Wellington, FL 33414-9325
Phone (561) 798-1233

Other identifiers 1

IdentifierTypeStateIssuer
062043200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GLENN.COLLINS@hca4.eclinicaldirectplus.com

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
I20050106000119 FL Practitioner - Obstetrics/Gynecology 8022066083 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Women's Health and Body LLCGroup PAC ID 2264752443, 49 clinicians

Practice addresses (Care Compare)

1395 S State Rd
7 Suite 450
Wellington, FL 33414-9328
Phone (561) 798-1233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
80
Promoting interoperability
99
Improvement activities
40
Cost
73.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Women's Health and Body, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 14, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Jul 3, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 14, 2015 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

8188 S Jog Rd
Ste 203
Boynton Beach, FL 33472
Phone (561) 740-1191

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

1395 S State Road 7
Ste 450
Wellington, FL 33414
Phone (561) 798-1233

560 Village Blvd
Ste 315
West Palm Beach, FL 33409
Phone (561) 616-9988

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lmcgcolli@yourcarecommunity.org

Organizations & group practices 6

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 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1417912569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 450",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-798-1233",
            "fax_number": "561-798-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S STATE ROAD 7",
            "address_2": "SUITE 450",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149325",
            "telephone_number": "561-798-1233",
            "fax_number": "561-798-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME55486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062043200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GLENN.COLLINS@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1395 S State Road 7",
            "address_2": "SUITE 450",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334149325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.