Active NPI
Peter M Gallogly, M.D.
- Family Medicine Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME85930
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50430 | Other | FL | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gainesville After Hours Clinic | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Gainesville, FL
- NPI 1780605865
-
dba Lafayette County Health Department
- Public Health or Welfare Agency
- Mayo, FL
- NPI 1386611085
-
- Public Health or Welfare Agency
- Mayo, FL
- NPI 1447268354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.