Active NPI
Michael D Gagliardi, M.D.
- Family Medicine Physician
- Lewisville, TX
National Provider Identifier
1083770044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2000-00056
- Practice address
- 1945 Lakepointe Dr
Lewisville, TX 75057-6424 - Phone
- (214) 302-3205
- 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 | 2000-00056 | NC | Primary |
Addresses
Primary practice location
1945 Lakepointe Dr
Lewisville, TX 75057-6424
Mailing address
3461 Lake Club Cir
Oak Island, NC 28461-4125
Phone (919) 349-6294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891247F | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-00056 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Cary Family Healthcare, PA | Family Medicine | Past | Accepting new patients |
Locations
1001 Crescent Green
Cary, NC 27518
Phone (919) 467-3211
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
Interoperability endpoints
- michael.gagliardi.1@33201.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Family Medicine Physician
- Cary, NC
- NPI 1033463500
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
- Family Medicine Physician
- Cary, NC
- NPI 1710029152
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": "1783900800000",
"number": "1083770044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3461 LAKE CLUB CIR",
"city": "OAK ISLAND",
"state": "NC",
"postal_code": "284614125",
"telephone_number": "919-349-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 LAKEPOINTE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576424",
"telephone_number": "214-302-3205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2000-00056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891247F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.