Individual provider Active NPI

Monty Anthony Glorioso, MD

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1962467191
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021194 Issued in LA
Practice address
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone
(504) 264-5142
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 021194 LA Primary

Addresses

Primary practice location

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203

Mailing address

3601 Houma Blvd Ste 402
Metairie, LA 70006-4310
Phone (504) 503-5123

Other practice location 1

3601 Houma Blvd Ste 402
Metairie, LA 70006-4310
Phone (504) 503-5123

Other identifiers 7

IdentifierTypeStateIssuer
021194OtherSTATE LIC #
1983764MedicaidLA
99046OtherCOVENTRY
1445509MedicaidLA
2704219001OtherCIGNA
F6413OtherBSBS AUTH #
4555509OtherAETNA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20090316000009 LA Practitioner - Internal Medicine 1254498462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 500
Metairie, LA 70006-2938
Phone (504) 455-0842

4315 Houma Blvd
Metairie, LA 70006-2942

4315 Houma Blvd
Suite 401
Metairie, LA 70006-2941
Phone (504) 503-5123

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Metairie, LA, CCN 197765
  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021194LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR la Holding, LLC CurrentSince Sep 29, 2021 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 18, 2020 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

501 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-4376

1918 Williams Blvd
Kenner, LA 70062
Phone (504) 471-4860

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4315 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 503-5123

3800 Houma Blvd
Ste 325
Metairie, LA 70006
Phone (504) 885-7337

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

4300 Houma Blvd
Ste 204
Metairie, LA 70006
Phone (504) 503-6791

3601 Houma Blvd
Ste 402
Metairie, LA 70006
Phone (504) 456-5123

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1724

4710 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 454-9020

3715 Prytania St
Ste 202
New Orleans, LA 70115
Phone (504) 899-1900

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

Organizations & group practices 2

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 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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962467191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HOUMA BLVD STE 402",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064310",
            "telephone_number": "504-503-5123",
            "fax_number": "504-503-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064203",
            "telephone_number": "504-264-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Houma Blvd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700064310",
            "country_code": "US",
            "telephone_number": "504-503-5123",
            "fax_number": "504-503-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLORIOSO",
        "first_name": "MONTY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "021194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "021194",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1983764",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "99046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445509",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2704219001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBS AUTH #",
            "identifier": "F6413",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4555509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.