Individual provider Active NPI

Juan Jose Gallegos Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Huntsville, AL
National Provider Identifier
1073809778
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
46749 Issued in AL
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

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221114002261 GA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 2567604093 Reassigns benefits to 1 organization
I20230801002462 AL Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2567604093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Heart Center, LLCGroup PAC ID 1951694678, 94 clinicians
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

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 Home health agency, Scottsboro, AL, CCN 017104
  • Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)43
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HH Heart Center, LLC Single Specialty CurrentSince Aug 14, 2023 Accepting new patients
Wiregrass Clinic LLC Single Specialty CurrentSince Mar 25, 2025 Accepting new patients
Phoebe Physician Group, Inc Single Specialty CurrentSince Aug 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.