Individual provider Active NPI

Peter M Gallogly, M.D.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1053476226
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME85930 Issued in FL
Practice address
1026 SW 2ND Ave
Gainesville, FL 32601-6134
Phone
(352) 392-1049
Fax
(352) 392-2991
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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 ME85930 FL Primary

Addresses

Primary practice location

1026 SW 2ND Ave
Gainesville, FL 32601-6134

Mailing address

1026 SW 2ND Ave
Gainesville, FL 32601-6134
Phone (352) 392-1049

Other identifiers 1

IdentifierTypeStateIssuer
50430OtherFLBLUE CROSS BLUE SHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000118 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Addiction Medicine 0143279810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, General Practice
Education
University of Florida College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville After Hours ClinicGroup PAC ID 7315966850, 4 clinicians

Practice addresses (Care Compare)

1050 NW 8TH Ave
Suite 10
Gainesville, FL 32601-4998
Phone (352) 379-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville After Hours Clinic Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Florida Department of Health Past Accepting new patients
Lafayette County Health Department-Dental Clinic Past Accepting new patients

Locations

1050 NW 8th Ave
Ste 10
Gainesville, FL 32601
Phone (352) 271-3200

926 NW 13th St
Gainesville, FL 32601
Phone (352) 379-1049

9111 SW 53rd Pl
Ste C
Gainesville, FL 32608

Interoperability endpoints

  • Direct secure messaging: pgallogly13863@direct.shands.ufl.edu

Organizations & group practices 3

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1053476226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 SW 2ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016134",
            "telephone_number": "352-392-1049",
            "fax_number": "352-392-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 SW 2ND AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326016134",
            "telephone_number": "352-392-1049",
            "fax_number": "352-392-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOGLY",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50430",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.