GLADES MEDICAL OFFICES LLC
NPI 1699574327
Internal Medicine in Port St Lucie, FL

Q: What is Glades Medical Offices LLC's NPI number?

The NPI number for Glades Medical Offices LLC is 1699574327. It was assigned to this organization in the NPPES registry on March 13, 2025.

Q: What is Glades Medical Offices LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 13, 2025CLIA Certified · 2 labs

1880 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 288-4911 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Glades Medical Offices Llc NPPES

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

GLADES MEDICAL OFFICES LLC (NPI 1699574327) is a healthcare organization registered as an internal medicine in Port St Lucie, Florida and active in the NPI registry since March 2025. The organization holds 2 active CLIA laboratory certificates and lists Toni Teresi, Vice President, as its authorized official.

NPPES Registry Identity

NPI1699574327

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGLADES MEDICAL OFFICES LLC

Location Address1880 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5545

Mailing Address1732 S Congress Ave Ste 346Palm Springs, FL 33461-2140 · (561) 353-1225 · Fax (561) 353-1226

Phone(772) 288-4911

Organization SubpartNo

Authorized OfficialToni TeresiVice President · (613) 531-2255

Enumeration DateMarch 13, 2025

NPPES CertifiedMarch 13, 2025

✔ NPI 1699574327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1880 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glades Medical Offices Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Glades Medical Offices LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Basya Nachlas, NP

Nurse Practitioner

NPI 1386160430

4675 LINTON BLVD
Delray Beach, FL 33445

(561) 049-5700

✔ PECOS✔ Accepts Medicare58 mi

Stephanie Oyen, MD

Internal Medicine

NPI 1902226442

4315 HIGHLAND PARK BLVD STE D
Lakeland, FL 33813

(863) 816-5884

✔ PECOS✔ Accepts Medicare113 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2325096

Glades Medical Offices LLC · Boca Raton, FL

Active · expires Jun 5, 2027

CLIA Number10D2325096

Laboratory TypePhysician Office

Certificate Effective DateJune 6, 2025

Certificate Expiration DateJune 5, 2027

Laboratory DirectorDavid Hervert

Laboratory Phone(561) 353-1225

Laboratory LocationGlades Medical Offices LLC3848 Fau Blvd Ste 210,, Boca Raton, FL 33431

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2322146

Glades Medical Offices LLC · Port Saint Lucie, FL

Active · expires Apr 15, 2027

CLIA Number10D2322146

Laboratory TypePhysician Office

Certificate Effective DateApril 16, 2025

Certificate Expiration DateApril 15, 2027

Laboratory DirectorDavid Hervert

Laboratory Phone(772) 446-4554

Laboratory LocationGlades Medical Offices LLC1880 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Glades Medical Offices LLC's NPI number?

The NPI number for Glades Medical Offices LLC is 1699574327. It was assigned to this organization in the NPPES registry on March 13, 2025.

Where is Glades Medical Offices LLC located?

Glades Medical Offices LLC is located at 1880 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 288-4911.

What is Glades Medical Offices LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Glades Medical Offices LLC enrolled in Medicare?

Yes. Glades Medical Offices LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glades Medical Offices LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Glades Medical Offices LLC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Glades Medical Offices LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Glades Medical Offices LLC was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.