Organization Active NPI

Amdg Naples 100 Senior Concierge and Consulting, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Naples, FL
National Provider Identifier
1962383679
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC
Practice address
733 Palm View Dr # E1
Naples, FL 34110-1207
Phone
(239) 734-0810
Fax
(833) 989-2444
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Fred Michael Gloth IIINPI 1881799831
Title
President/Ceo
Phone
(239) 658-3117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

733 Palm View Dr # E1
Naples, FL 34110-1207

Mailing address

PO Box 111120
1130 Creekside Pkwy
Naples, FL 34108-0119
Phone (239) 734-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222001976 FL Part B Supplier - Clinic/Group Practice 3971098427 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1962383679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111120",
            "address_2": "1130 CREEKSIDE PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080119",
            "telephone_number": "239-734-0810",
            "fax_number": "833-989-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 PALM VIEW DR # E1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101207",
            "telephone_number": "239-734-0810",
            "fax_number": "833-989-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDG NAPLES 100 SENIOR CONCIERGE AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "GLOTH",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "239-658-3117",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.