Active NPI
Juan Jose Gallegos Jr., MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 46749
- Practice address
- 201 Sivley Rd SW Ste 300
Huntsville, AL 35801-5102 - Phone
- (256) 536-5594
- Fax
- (256) 533-3379
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 46749 | AL | Primary |
Addresses
Primary practice location
201 Sivley Rd SW Ste 300
Huntsville, AL 35801-5102
Mailing address
PO Box 040005
Huntsville, AL 35804-4005
Phone (256) 533-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- 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
- Cardiac Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Sivley Rd SW
Suite 300
Huntsville, AL 35801-5102
Phone (256) 536-5594
4300 W Main St
Dothan, AL 36305-1058
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613
Hospital & facility affiliations
- Highlands Home Health
- Huntsville Hospital Homecare
- Huntsville Hospital
- Athens Limestone Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 43 |
| 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 |
|---|---|---|---|
| HH Heart Center, LLC | Single Specialty | Current | Accepting new patients |
| Wiregrass Clinic LLC | Single Specialty | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Single Specialty | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Single Specialty | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
201 Sivley Rd SW
Ste 300
Huntsville, AL 35801
Phone (256) 533-1077
930 Franklin St SE
Huntsville, AL 35801
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
Interoperability endpoints
- juangallegos@tmhpp.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Clinical Cardiac Electrophysiology Physician
- Huntsville, AL
- NPI 1255781415
Single Specialty
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Huntsville, AL
- NPI 1427237387
-
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
-
- Home Health Agency
- Scottsboro, AL
- NPI 1093484396
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691712000000",
"number": "1073809778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 040005",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358044005",
"telephone_number": "256-533-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SIVLEY RD SW STE 300",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015102",
"telephone_number": "256-536-5594",
"fax_number": "256-533-3379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "JUAN",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "46749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.