Individual provider Active NPI

John T Gallagher, M.D.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1023051091
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01035426 Issued in IN
Practice address
801 Saint Marys Dr # 300
Evansville, IN 47714-0511
Phone
(812) 485-5300
NPI assigned
Jun 14, 2006
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01035426 IN Primary

Addresses

Primary practice location

801 Saint Marys Dr # 300
Evansville, IN 47714-0511

Mailing address

801 Saint Marys Dr # 300
Evansville, IN 47714-0511

Other practice location 1

9200 New Harmony Rd
Evansville, IN 47720-8938
Phone (812) 963-7617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.gallagher.2@7598.direct.athenahealth.com St. Mary's Health, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000588 IN Practitioner - Family PracticePractitioner - Geriatric Medicine 0840398426 Reassigns benefits to 3 organizations
Practice locations: Evansville, IN; Ferdinand, IN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians
St Marys Health IncGroup PAC ID 9133023898, 53 clinicians

Practice addresses (Care Compare)

3700 Bellemeade Ave
Suite 202
Evansville, IN 47714-0126
Phone (812) 485-5800

801 Saint Marys Dr
Suite 300
Evansville, IN 47714-0511
Phone (812) 485-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01035426INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
St Mary's Medical Group, LLC Family Medicine CurrentSince Apr 15, 2025 Accepting new patients
Daviess County Hospital CurrentSince Feb 1, 2014 Accepting new patients
Daviess County Hospital CurrentSince Feb 1, 2014 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Apr 15, 2025 Accepting new patients
Hildegard Health Center,Inc. Past Accepting new patients

Locations

3700 Bellemeade Ave
Ste 202
Evansville, IN 47714
Phone (812) 437-2737

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

801 Saint Marys Dr
#300
Evansville, IN 47714
Phone (812) 485-5300

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: john.gallagher.3@7598.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1023051091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR # 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR # 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140511",
            "telephone_number": "812-485-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 New Harmony Rd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477208938",
            "country_code": "US",
            "telephone_number": "812-963-7617",
            "fax_number": "812-963-7609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01035426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.gallagher.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Mary's Health, Inc",
            "address_1": "801 Saint Marys Dr # 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.