NPIMap

Individual provider Active NPI

Michael L Gluck, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Lemoyne, PA
National Provider Identifier
1437140837
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD016748E Issued in PA
Practice address
108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone
(717) 774-1366
Fax
(717) 774-4232
NPI assigned
Nov 3, 2005
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 MD016748E PA Primary

Addresses

Primary practice location

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045

Mailing address

108 Lowther St
Internists of Central PA LTD
Lemoyne, PA 17043-2045
Phone (717) 774-1366

Other identifiers 1

IdentifierTypeStateIssuer
0006339620001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000070 PA Practitioner - Internal Medicine 8022099191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internists of Central Pennsylvania LTD.Group PAC ID 7719875921, 17 clinicians

Practice addresses (Care Compare)

108 Lowther St
Lemoyne, PA 17043-2012
Phone (717) 774-1366

108 Lowther St
Lemoyne, PA 17043-2045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.17 of 100Reported as individual
Quality
44.39
Promoting interoperability
97
Improvement activities
40
Cost
78.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD016748EPAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internists of Central Pennsylvania LTD. Geriatric Medicine CurrentSince Dec 4, 1978 Accepting new patients

Locations

108 Lowther St
Lemoyne, PA 17043
Phone (717) 774-1366

Interoperability endpoints

  • Direct secure messaging: mgluck@icp.medentdirect.com

Organizations & group practices 1

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 11

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1437140837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA LTD",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366",
            "fax_number": "717-774-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUCK",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD016748E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006339620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

Verify at the official NPI Registry.