Active NPI
Glenn D. Adams, M.D.
- Pulmonary Disease Physician
- Sarasota, FL
National Provider Identifier
1588658231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME44375
- Practice address
- 1625 S Osprey Ave
Sarasota, FL 34239-2929 - Phone
- (941) 917-8772
- Fax
- (941) 365-7057
- NPI assigned
- Sep 8, 2005
- Last updated
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ME44375 | FL | Primary |
Addresses
Primary practice location
1625 S Osprey Ave
Sarasota, FL 34239-2929
Mailing address
4411 Bee Ridge Rd
Suite 440
Sarasota, FL 34233-2514
Phone (941) 917-8772
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202858219 | Other | FL | TAX ID |
| 069755900 | Medicaid | FL | |
| 30723 | Other | FL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050924000089 | FL | Practitioner - Pulmonary Disease | 0244200848 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Freedom Health HMO Network
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.
-
- Pulmonary Disease Physician
- Sarasota, FL
- NPI 1467417600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1588658231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 BEE RIDGE RD",
"address_2": "SUITE 440",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342332514",
"telephone_number": "941-917-8772",
"fax_number": "941-365-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 S OSPREY AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392929",
"telephone_number": "941-917-8772",
"fax_number": "941-365-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "GLENN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME44375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "202858219",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069755900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "30723",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.