Doctor profile · Federal record

Dr. GLORYANNE GAUTIER NIEVES, MD

Surgery Physician · Surgery Physician · PHILADELPHIA, PA

  • NPI 1164049854
  • 6 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
333 COTTMAN AVE
PHILADELPHIA, PA 191112497
(888) 369-2427
Additional location
5401 Old York Rd # Klein101
Philadelphia, PA 191413030
(215) 456-3443
fax (215) 456-7602
Mailing address
3509 N BROAD ST STE 226
PHILADELPHIA, PA 191404105

Credentials & registration

NPPES · NUCC
NPI registered
June 2020 — 6 yrs on file
Profile last updated
July 6, 2025
Specialty taxonomy
208600000X — NUCC code
State licenses (2)
Pennsylvania #MD489864 · Pennsylvania #MT221949

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164049854. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$227
Transactions
3
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
W. L. Gore & Associates, Inc. 2 $197.56
AstraZeneca Pharmaceuticals LP 1 $29.52

By nature of payment

Food and Beverage
$227