Individual provider Active NPI

Daniel Glotzer, MD

  • Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1669414520
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
223482 Issued in NY
Practice address
1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806
Phone
(772) 563-4741
Fax
(772) 563-4646
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 223482 NY Primary

Addresses

Primary practice location

1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806

Mailing address

1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806
Phone (772) 563-4741

Other identifiers 1

IdentifierTypeStateIssuer
1763937MedicaidNY

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
I20110323000712 FL Practitioner - General Surgery 5799731048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 567-4311

1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311

3450 11TH CT
Vero Beach, FL 32960-5012

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy11
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223482NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Feb 1, 2011 Accepting new patients
Indian River Health Services Inc CurrentSince Feb 1, 2011 Accepting new patients
Indian River Health Services Inc Past Accepting new patients

Locations

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1040 37th Pl
Ste 201
Vero Beach, FL 32960
Phone (772) 492-7051

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

3450 11th Ct
Ste 204
Vero Beach, FL 32960
Phone (772) 770-6850

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1669414520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 37TH PL",
            "address_2": "SUITE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604806",
            "telephone_number": "772-563-4741",
            "fax_number": "772-563-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 37TH PL",
            "address_2": "SUITE 201",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604806",
            "telephone_number": "772-563-4741",
            "fax_number": "772-563-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOTZER",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "223482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1763937",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.