Individual provider Active NPI

Charles Israel Glaser, M.D.

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1457336323
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0013981 Issued in FL
Practice address
7101 W McNab Rd
Tamarac, FL 33321-5351
Phone
(954) 722-5600
Fax
(954) 674-4528
NPI assigned
Dec 13, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0013981 FL Primary

Addresses

Primary practice location

7101 W McNab Rd
Tamarac, FL 33321-5351

Mailing address

7495 N University Dr
Tamarac, FL 33321-2971
Phone (954) 722-2300

Other names 1

  • Charles I Glaser Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20040223000599 FL Practitioner - Internal Medicine 5193611762 Reassigns benefits to 1 organization
I20230201000745 TX Practitioner - Internal Medicine 5193611762 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13981FLMDChiropractor
ME0013981FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Heart Center, PA CurrentSince Oct 1, 2019 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 23, 2023 Accepting new patients

Locations

1040 SW 2nd Ave
Ocala, FL 34471
Phone (352) 732-3005

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457336323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212971",
            "telephone_number": "954-722-2300",
            "fax_number": "954-720-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W MCNAB RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333215351",
            "telephone_number": "954-722-5600",
            "fax_number": "954-674-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "CHARLES",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0013981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "GLASER",
            "middle_name": "I",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.