Individual provider Active NPI

Joseph Gutman, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Plantation, FL
National Provider Identifier
1780633875
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME108751 Issued in FL
Practice address
350 NW 84TH Ave Ste 200
Plantation, FL 33324
Phone
(954) 424-4321
Fax
(954) 424-0765
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME108751 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 200
Plantation, FL 33324

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

Other practice location 1

4780 SW 64th Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

Other identifiers 2

IdentifierTypeStateIssuer
ME108751OtherFLMEDICAL LICENSE
003388600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110418000841 FL Practitioner - EndocrinologyPractitioner - General PracticePractitioner - Internal Medicine 9234298027 Reassigns benefits to 2 organizations
I20221026001414 WY Practitioner - Internal Medicine 9234298027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Memorial Medical Group LLCGroup PAC ID 1254876683, 40 clinicians

Practice addresses (Care Compare)

6500 E 2ND St
Casper, WY 82609-4338
Phone (307) 577-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Memorial Medical Group LLC CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital of Converse County Current Accepting new patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Memorial Hospital of Converse County CurrentSince Sep 1, 2022 Accepting new patients
Medflorida Specialists, LLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 14, 2019 Accepting new patients
Diabetes America Az LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

4780 SW 64th Ave
Ste 101
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

350 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 424-4321

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

1395 S State Road 7
Ste 420
Wellington, FL 33414
Phone (561) 204-4687

6500 E 2nd St
Casper, WY 82609
Phone (307) 235-4180

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

700 E Center St
Douglas, WY 82633
Phone (307) 352-8946

222 S 5th St
Douglas, WY 82633
Phone (307) 286-6738

Interoperability endpoints

  • Direct secure messaging: jgutman@direct.mhccwyo.org

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.

Hospital & facility affiliations 2

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1780633875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705",
            "fax_number": "954-434-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-424-4321",
            "fax_number": "954-424-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 SW 64th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333144400",
            "country_code": "US",
            "telephone_number": "954-434-1705",
            "fax_number": "954-434-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME108751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME108751",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003388600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.