Individual provider Active NPI

Jon B Gallinatti, D.P.M

  • Podiatrist
  • Hialeah, FL
National Provider Identifier
1013042167
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2101 Issued in FL
Practice address
7620 NW 186TH St
Hialeah, FL 33015
Phone
(305) 829-5001
Fax
(305) 829-3902
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2101 FL Primary
Primary Podiatric Medicine Podiatrist 213EP1101X PO2101 FL
Radiology Podiatrist 213ER0200X PO2101 FL
Foot Surgery Podiatrist 213ES0131X PO2101 FL

Addresses

Primary practice location

7620 NW 186TH St
Hialeah, FL 33015

Mailing address

7620 NW 186TH St
Hialeah, FL 33015
Phone (305) 829-5001

Other identifiers 2

IdentifierTypeStateIssuer
390038000MedicaidFL
65204OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120926000401 FL Practitioner - Podiatry 7618126293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7620 NW 186TH St
Hialeah, FL 33015-2929
Phone (305) 829-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101FLMDAddiction (Substance Use Disorder) Counselor
PO2101FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Burgos & Associates MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1013042167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-829-5001",
            "fax_number": "305-829-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 NW 186TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-829-5001",
            "fax_number": "305-829-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINATTI",
        "first_name": "JON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2101",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2101",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO2101",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390038000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.