Individual provider Active NPI

Robert Aldworth Glass, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1497049571
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33642 Issued in SC
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-25302 HI
Internal Medicine Physician 207R00000X MD.46158 AL
Internal Medicine Physician 207R00000X U3217 TX
Internal Medicine Physician 207R00000X 35.147127 OH
Internal Medicine Physician 207R00000X MD479838 PA
Internal Medicine Physician 207R00000X 74972 AZ
Internal Medicine Physician 207R00000X LL33642 SC
Internal Medicine Physician 207R00000X DR.0074514 CO
Internal Medicine Physician 207R00000X ME161302 FL
Internal Medicine Physician 207R00000X 01095542A IN
Internal Medicine Physician 207R00000X TPME277 FL
Internal Medicine Physician 207R00000X 2023-00109 NC
Internal Medicine Physician 207R00000X E-20235 AR
Internal Medicine Physician 207R00000X 33642 SC Primary
Internal Medicine Physician 207R00000X 35151 MS

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL, FL, PA, TX, NC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140815000606 SC Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization
I20230816002519 AL Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization
I20230822000871 FL Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization
I20230824001123 PA Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization
I20230824001314 TX Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization
I20240603000049 NC Practitioner - Internal Medicine 5991922999 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-20235ARMDInternal Medicine Physician
74972AZMDInternal Medicine Physician
DR.0074514COMDInternal Medicine Physician
TPME277FLMDInternal Medicine Physician
MD-25302HIMDInternal Medicine Physician
01095542AINMDInternal Medicine Physician
35151MSMDInternal Medicine Physician
MD479838PAMDInternal Medicine Physician
LL33642SCMDInternal Medicine Physician
U3217TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical PA PC CurrentSince Aug 8, 2023 Accepting new patients
Devoted Medical NC PC CurrentSince May 17, 2024 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jul 25, 2023 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Aug 8, 2023 Accepting new patients

Locations

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1497049571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ROBERT",
        "middle_name": "ALDWORTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-25302",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.46158",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U3217",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.147127",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD479838",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "74972",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL33642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0074514",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME161302",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01095542A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TPME277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-00109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-20235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "33642",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "35151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.