Individual provider Active NPI

Gloria B Deutsch, DPM

  • Podiatrist
  • Libertyville, IL
National Provider Identifier
1982347191
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007473 Issued in NY
Practice address
613 W Park Ave Apt B
Libertyville, IL 60048-2661
Phone
(630) 391-3447
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007473 NY Primary

Addresses

Primary practice location

613 W Park Ave Apt B
Libertyville, IL 60048-2661

Mailing address

302A Washington Avenue Ext
Albany, NY 12203-7303
Phone (518) 482-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904000007 NY Practitioner - Podiatry 8820590417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Brian Friedman DPM PLLCGroup PAC ID 9830200856, 4 clinicians

Practice addresses (Care Compare)

302 A Washington Ave Ext
Albany, NY 12203-7303
Phone 5184824321120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions13
Removal of nail tissue144
Removal or shaving of skin growth103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Brian Friedman, DPM, PLLC Podiatrist CurrentSince May 29, 2025 Accepting new patients
Mark Brian Friedman, DPM, PLLC Podiatrist Past Accepting new patients

Locations

302A Washington Avenue Ext
Albany, NY 12203
Phone (518) 482-4321

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

Interoperability endpoints

  • Direct secure messaging: deutschg@albanypodiatry.medentdirect.com
  • Direct secure messaging: gdeutsch2061498@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1982347191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-482-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 W PARK AVE APT B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482661",
            "telephone_number": "630-391-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "GLORIA",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.