Active NPI
Matthew U Glover
- Interventional Cardiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME39678
- Practice address
- 4612 N Habana Ave
Tampa, FL 33614-7101 - Phone
- (813) 875-9000
- Fax
- (813) 874-3278
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME39768 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME39768 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME39678 | FL | Primary |
Addresses
Primary practice location
4612 N Habana Ave
Tampa, FL 33614-7101
Mailing address
PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066476600 | Medicaid | FL | |
| P01316688 | Other | FL | RAILROAD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of South Florida College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4620 N Habana Ave
Suite 203
Tampa, FL 33614-7107
Phone (813) 873-7479
Hospital & facility affiliations
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 41.84 of 100
- Quality
- 43.55
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 76.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39768 | FL | MD | Cardiovascular Disease Physician |
| ME39678 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Cardiovascular Interventions and Research | Interventional Cardiology | Current | Accepting new patients |
| National Kidney Partners, LLP | Current | Accepting new patients | |
| Baycare Medical Group Pediatric Walk-in, LLC | Past | Accepting new patients | |
| Baycare Medical Group Pediatric Walk-in Care LLC | Past | Accepting new patients |
Locations
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
4620 N Habana Ave
Ste 203
Tampa, FL 33614
Phone (813) 232-0339
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mglover77023@direct.acumenmd.com
Organizations & group practices 4
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.
-
- Nephrology Physician
- Hudson, FL
- NPI 1780684795
-
- Interventional Cardiology Physician
- Tampa, FL
- NPI 1720849714
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1760418594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743409",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743409",
"telephone_number": "727-532-0002",
"fax_number": "727-532-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 N HABANA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147101",
"telephone_number": "813-875-9000",
"fax_number": "813-874-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "MATTHEW",
"middle_name": "U",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME39768",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME39768",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME39678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066476600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P01316688",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.