NPIMap

Individual provider Active NPI

Charles B Glover, MD

  • Cardiovascular Disease Physician
  • Grand Junction, CO
National Provider Identifier
1891955456
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0072089 Issued in CO
Practice address
688 23 1/2 Rd Ste 301
Grand Junction, CO 81505-8904
Phone
(970) 644-4030
NPI assigned
Jun 16, 2008
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME114850 FL
Cardiovascular Disease Physician 207RC0000X 0072089 CO Primary
Interventional Cardiology Physician 207RI0011X 114850 FL

Addresses

Primary practice location

688 23 1/2 Rd Ste 301
Grand Junction, CO 81505-8904

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice location 1

13000 Bruce B Downs Blvd # 111A
Tampa, FL 33612-4745
Phone (813) 972-2000 ext. 7618

Other practice location 2

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038

Other identifiers 3

IdentifierTypeStateIssuer
9000229493MedicaidCO
151F8OtherFLBCBS
114912000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cglover216017@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140307000268 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173753498 Reassigns benefits to 1 organization
I20240307001071 CO Practitioner - Cardiovascular Disease (Cardiology) 3173753498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

2503 Foresight Cir
Grand JCT, CO 81505-1139

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

688 23
Grand Junction, CO 81505-8904

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting19
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0072089COMDCardiovascular Disease Physician
ME114850FLMDCardiovascular Disease Physician
114850FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Community Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Colorado West Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59 LLC Current Accepting new patients
KND Development 59 LLC CurrentSince Jan 27, 2014 Accepting new patients
Colorado West Healthcare System Current Accepting new patients
Community Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Colorado West Healthcare System CurrentSince Jul 1, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Jan 27, 2014 Accepting new patients
Community Medical Group, LLC Cardiovascular Disease Past Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients

Locations

688 23 12 Rd Ste 301
Ste 301
Grand Junction, CO 81505
Phone (970) 644-4030

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

2 Columbia Dr
#J402
Tampa, FL 33606

4555 S Manhattan Ave
Tampa, FL 33611
Phone (813) 540-0093

Interoperability endpoints

  • Direct secure messaging: cglover216017@direct.tgh.org
  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1891955456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 23 1/2 RD STE 301",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815058904",
            "telephone_number": "970-644-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13000 Bruce B Downs Blvd # 111A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336124745",
            "country_code": "US",
            "telephone_number": "813-972-2000 x7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-821-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "CHARLES",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME114850",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "0072089",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "114850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000229493",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "151F8",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114912000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cglover216017@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.