Active NPI
Joseph Gutman, MD
- Endocrinology, Diabetes & Metabolism Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME108751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME108751 | Other | FL | MEDICAL LICENSE |
| 003388600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Memorial Medical Group LLC | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Medflorida Specialists, LLC | Endocrinology, Diabetes & Metabolism | Current | 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
- 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.
-
- General Practice Physician
- Casper, WY
- NPI 1598469462
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Rheumatology Physician
- Jupiter, FL
- NPI 1346603412
Endocrinology, Diabetes & Metabolism
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
-
- Endocrinology, Diabetes & Metabolism Physician
- Chandler, AZ
- NPI 1992966998
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.