Active NPI
Samuel E. Galle, M.D.
- Orthopaedic Surgery Physician
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD61019703
- Practice address
- 12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064 - Phone
- (425) 823-4224
- NPI assigned
- Apr 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD61019703 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | MD61019703 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Mailing address
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224
Other practice location 1
1810 116th Ave NE Ste D4
Bellevue, WA 98004-3058
Phone (425) 283-5230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2154001 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12911 120TH Ave NE
Suite H120
Kirkland, WA 98034-3062
Phone (425) 823-4226
Hospital & facility affiliations
- Swedish Issaquah
- Overlake Hospital Medical Center & Clinics
- Evergreenhealth Monroe
- Evergreenhealth Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Orthopaedic Surgery | Current | Accepting new patients |
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Proliance Surgeons, Inc., P.S. | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1800 Harrison St
Fl 7
Oakland, CA 94612
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
2025 Morse Ave
Sacramento, CA 95825
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
1810 116th Ave NE
Ste D4
Bellevue, WA 98004
Phone (425) 283-5230
12911 120th Ave NE
Ste H120
Kirkland, WA 98034
Phone (425) 823-4226
12911 120th Ave NE
Ste H220
Kirkland, WA 98034
Phone (425) 216-7075
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Interoperability endpoints
- sgalle1247418@wm.providencedirect.org
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Orthopaedic Surgery
-
- Orthopaedic Hand Surgery Physician
- Kirkland, WA
- NPI 1134165897
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
Orthopaedic Surgery
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Otolaryngology Physician
- Burien, WA
- NPI 1114108784
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1073803276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343064",
"telephone_number": "425-823-4224",
"fax_number": "425-820-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343064",
"telephone_number": "425-823-4224"
}
],
"practiceLocations": [
{
"address_1": "1810 116th Ave NE Ste D4",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043058",
"country_code": "US",
"telephone_number": "425-283-5230",
"fax_number": "425-283-5236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLE",
"first_name": "SAMUEL",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-09",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WA",
"license": "MD61019703",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD61019703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2154001",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.