Glenn A Kwiat, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME100907 Issued in FL

Practice address

3301 W Gandy Blvd
Tampa, FL 33611-2931

Phone

(813) 925-1903

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Specialty

Family Practice

Education

University of Cincinnati College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergic Healthcare Solutions LLCGroup PAC ID 7618235573, 94 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: gkwiat280456@direct.tgh.org
• FHIR API: https://api.platform.athenahealth.com/14213/brand/1/csg/1/fhir/r4

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.

• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013

  FL

  Medicare reassignment Care Compare group NPD
• Suncoast Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Spring Hill, FL
  • NPI 1780890053

  FL

  Medicare reassignment NPD
• Verimed Health Group Trinity

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1912494014

  FL

  Medicare reassignment NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Punta Gorda, FL
  • NPI 1174336119
  Care Compare group NPD
• Synergic Healthcare Solutions LLC

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  Care Compare group NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1972129575
  Care Compare group NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Apollo Beach, FL
  • NPI 1003575390
  Care Compare group
• Synergic Healthcare Solutions LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1093233967
  Care Compare group
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1114437571
  Care Compare group
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Lithia, FL
  • NPI 1205411238
  Care Compare group
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Brandon, FL
  • NPI 1285290130
  Care Compare group
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1316694144
  Care Compare group

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1760437883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 PARILLA CIR",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346557052",
            "telephone_number": "727-207-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W GANDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112931",
            "telephone_number": "813-925-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIAT",
        "first_name": "GLENN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.057132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121267800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0724890",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF FLORIDA",
            "identifier": "53648",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000297500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00807421",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaley Anne Kuzma, PA-C
• Gary J Kuznicki, PA
• Larry Kvols, MD
• Georgianna C. Kwan, M.S. CCC-A
• Joshua Alexander Kwaznicki, MSW
• Geoffrey Malcom Kwitko, M.D.
• Ashley Nunghee Kwon, DO
• Mi Ae Kwon, D.M.D.
• Soo Yun Kwon, M.D.
• Aye Suu Kyi

• All providers in Tampa, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.

Verify at the official NPI Registry.