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GLIVERY MARY GAYAHAN ELVAMBUENA M.D.
NPI 1336448794
Pediatrics in Clearwater, FL

Active since March 23, 2011PECOS EnrolledAccepts Medicare Assignment
14100 58TH ST N, CLEARWATER, FL 33760(727) 824-8181 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Glivery Mary Gayahan Elvambuena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLIVERY MARY GAYAHAN ELVAMBUENA M.D. (NPI 1336448794) is an individual pediatrics provider in Clearwater, Florida, licensed in Florida (ME 119632) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1336448794
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGLIVERY MARY GAYAHAN ELVAMBUENACredential: M.D.
Location Address14100 58TH ST NClearwater, FL 33760-9900
Mailing Address14100 58th St NClearwater, FL 33760-9900 · (407) 489-3862
Phone(727) 824-8181
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 23, 2011
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1336448794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME 119632
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
14100 58TH ST N, Clearwater, FL 33760
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Other Names 1

Former Name (1)Glivery Mary Genil Gayahan M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glivery Mary Gayahan Elvambuena M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850660663
PECOS Enrollment IDI20170711002370
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Glivery Mary Elvambuena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Pinellas Inc
Same address
Federally Qualified Health Center (FQHC)
14100 58TH ST N STE 100
Clearwater, FL 33760
  • Reassigned Medicare billing, Florida enrollment
  • 131 clinicians in this Medicare group
NPI 1467873315 (727) 824-8181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33760 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BENSON
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. GAETANO FERNANDO PEREGO M.D
Obstetrics & Gynecology (Obstetrics)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. JONATHAN MAI DO
General Practice
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
SOLANGE MEFOTIEMGNE KWAM FNP-C
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. SETH A GRANT
Physical Therapist
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
ERIN ANN ADAMSKI ARNP
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
KELLY SINGLETON MSW LCSW
Social Worker (Clinical)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181
DR. CATHERINE NWOKOLO
Pharmacist (Ambulatory Care)
14100 58TH ST N
CLEARWATER, FL 33760
Pinellas County (727) 824-8181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glivery Mary Elvambuena's NPI number?

The NPI number for Glivery Mary Elvambuena is 1336448794. It was assigned to this individual provider in the NPPES registry on March 23, 2011. The provider is also known as Glivery Mary Genil Gayahan M.D..

Where is Glivery Mary Elvambuena located?

Glivery Mary Elvambuena practices at 14100 58th St N, Clearwater, FL 33760. The listed phone number is (727) 824-8181.

What is Glivery Mary Elvambuena's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Glivery Mary Elvambuena enrolled in Medicare?

Yes. Glivery Mary Elvambuena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Glivery Mary Elvambuena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glivery Mary Elvambuena reassigns Medicare benefits to Community Health Center Of Pinellas Inc (Clearwater, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glivery Mary Elvambuena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glivery Mary Elvambuena accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Glivery Mary Elvambuena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glivery Mary Elvambuena was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.