Glutality Provider Group, P.a. - Medicare Primary Care in Boca Raton, FL

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Glutality Provider Group, P.a. is a medicare enrolled primary clinic (Internal Medicine) in Boca Raton, Florida. The current practice location for Glutality Provider Group, P.a. is 5300 Broken Sound Blvd Nw Ste 200, Boca Raton, Florida. For appointments, you can reach them via phone at (561) 678-2026. The mailing address for Glutality Provider Group, P.a. is 5300 Broken Sound Blvd Nw Ste 200, Boca Raton, Florida and phone number is (561) 678-2026.

Glutality Provider Group, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083256168. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (561) 678-2026.

Contact Information

Glutality Provider Group, P.a.
5300 Broken Sound Blvd Nw Ste 200
Boca Raton
FL 33487-3514
(561) 678-2026
(561) 423-9249

Map and Direction


Primary Care Clinic Profile

Full NameGlutality Provider Group, P.a.
SpecialityInternal Medicine
Location5300 Broken Sound Blvd Nw Ste 200, Boca Raton, Florida
Authorized Official Name and PositionJohn M Sortino (OWNER)
Authorized Official Contact5615967517
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glutality Provider Group, P.a.
5300 Broken Sound Blvd Nw Ste 200
Boca Raton
FL 33487-3514

Ph: (561) 678-2026		Glutality Provider Group, P.a.
5300 Broken Sound Blvd Nw Ste 200
Boca Raton
FL 33487-3514

Ph: (561) 678-2026

NPI Details:

NPI Number1083256168
Provider Enumeration Date10/10/2019
Last Update Date01/14/2025

Medicare PECOS Information:

Medicare PECOS PAC ID9032549837
Medicare Enrollment IDO20200804002737

Medical Identifiers

Medical identifiers for Glutality Provider Group, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083256168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Glutality Provider Group, P.a. acts as a billing entity for following providers:
Provider NameGene E Walker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740207349
PECOS PAC ID: 9234121120
Enrollment ID: I20040525000556
Provider NameLuciano I Kolodny
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1881653772
PECOS PAC ID: 5395717755
Enrollment ID: I20040806001246
Provider NameCheryl S Peterson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386737674
PECOS PAC ID: 6608840624
Enrollment ID: I20050331000916
Provider NameThar Elbaage
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851336341
PECOS PAC ID: 2163316688
Enrollment ID: I20061208000505
Provider NameSandra L Mccatty
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679524045
PECOS PAC ID: 9830169663
Enrollment ID: I20140605001662
Provider NameAmy T Kenworthy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346335254
PECOS PAC ID: 7012997109
Enrollment ID: I20190122003354
Provider NameDaniel Bade
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376631077
PECOS PAC ID: 3173548450
Enrollment ID: I20210223002210
Provider NameMonika Bhalla
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1114368974
PECOS PAC ID: 6507153541
Enrollment ID: I20210512000709
Provider NameAlemeshet Gudeta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225455140
PECOS PAC ID: 8123317237
Enrollment ID: I20210513002902
Provider NameKenneth David Quam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386987139
PECOS PAC ID: 8820305196
Enrollment ID: I20210517000750
Provider NameNitinkumar Doshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154424372
PECOS PAC ID: 4688675515
Enrollment ID: I20210519000843
Provider NameRon Her
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881905982
PECOS PAC ID: 1951554302
Enrollment ID: I20210709001428
Provider NameCody Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629463674
PECOS PAC ID: 8123397551
Enrollment ID: I20210727000509
Provider NameMansoor Ahmad
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1639583321
PECOS PAC ID: 2365747862
Enrollment ID: I20210818001187
Provider NameHari Iyengar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013355973
PECOS PAC ID: 4688989932
Enrollment ID: I20211007001956
Provider NameRachelle Savalli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770933848
PECOS PAC ID: 2264785567
Enrollment ID: I20220209002634
Provider NameJasmit S Minhas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689081812
PECOS PAC ID: 7618233495
Enrollment ID: I20220616000668
Provider NameAna Lisa Carr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689841744
PECOS PAC ID: 2567741580
Enrollment ID: I20230602001262
Provider NameEmaad Basith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689025108
PECOS PAC ID: 7618269341
Enrollment ID: I20230922001215
Provider NameErik Deede
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821036112
PECOS PAC ID: 5092889808
Enrollment ID: I20231031003282
Provider NameAshley Michelle Torlone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225359466
PECOS PAC ID: 9638313802
Enrollment ID: I20231108001932
Provider NameNicholas A Raubitschek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093101248
PECOS PAC ID: 6002122124
Enrollment ID: I20231128001533
Provider NamePramodini Gosukonda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568526242
PECOS PAC ID: 0648294231
Enrollment ID: I20240201002162
Provider NameVikas Sharotri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1487870127
PECOS PAC ID: 0941307284
Enrollment ID: I20240705001411
Provider NameMarcela Espinosa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508020819
PECOS PAC ID: 0345307351
Enrollment ID: I20240709000977
Provider NameAjeet Dube
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871703132
PECOS PAC ID: 8820140163
Enrollment ID: I20240710000441

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.