Individual provider Active NPI

Jesse Glueck, M.D.

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1740663095
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME136392 Issued in FL
Practice address
1414 Kuhl Ave # MP31
Orlando, FL 32806-2008
Phone
(407) 237-6329
Fax
(407) 649-3083
NPI assigned
Jul 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME136392 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X TRN21694 FL

Addresses

Primary practice location

1414 Kuhl Ave # MP31
Orlando, FL 32806-2008

Mailing address

1414 Kuhl Ave # MP31
Orlando, FL 32806-2008
Phone (407) 237-6329

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
I20180724003290 FL Practitioner - Emergency Medicine 1951616010 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN21694FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Travel Doctor, PL Emergency Medicine CurrentSince Feb 19, 2024 Accepting new patients
The Clinicians, LLC Emergency Medicine CurrentSince Apr 7, 2023 Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Boca del Mar Pediatric and Adolescent Center PA Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

Organizations & group practices 7

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": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1740663095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE # MP31",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "407-237-6329",
            "fax_number": "407-649-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 KUHL AVE # MP31",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062008",
            "telephone_number": "407-237-6329",
            "fax_number": "407-649-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECK",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME136392",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN21694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.