Individual provider Active NPI

Glenn Barry Sterling, M.D.

  • Dermatology Physician
  • Weston, FL
National Provider Identifier
1699807271
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME60178 Issued in FL
Practice address
1040 Weston Rd
Suite 220
Weston, FL 33326-1978
Phone
(954) 384-6262
Fax
(954) 384-1202
NPI assigned
Mar 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME60178 FL Primary

Addresses

Primary practice location

1040 Weston Rd
Suite 220
Weston, FL 33326-1978

Mailing address

1040 Weston Rd
Suite 220
Weston, FL 33326-1978
Phone (954) 384-6262

Other identifiers 1

IdentifierTypeStateIssuer
15125AOtherFLBLUE CROSS

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
I20100126000224 FL Practitioner - Dermatology 1355483579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Stony Brook, School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1040 Weston Rd
Suite 105
Weston, FL 33326-1912
Phone (954) 384-6262

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1026
Skin biopsy81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Dermatology LLC Dermatology CurrentSince Dec 7, 2009 Accepting new patients

Locations

1040 Weston Rd
Ste 220
Weston, FL 33326
Phone (954) 384-6262

1040 Weston Rd
Ste 105
Weston, FL 33326
Phone (954) 384-6262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699807271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 220",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261978",
            "telephone_number": "954-384-6262",
            "fax_number": "954-384-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WESTON RD",
            "address_2": "SUITE 220",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261978",
            "telephone_number": "954-384-6262",
            "fax_number": "954-384-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERLING",
        "first_name": "GLENN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME60178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "15125A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.