Andrea Gallo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

I3-0001357 Issued in DE

Practice address

1801 Rockland Rd
Nemours Senior Care Ophthalmology Clinic
Wilmington, DE 19803-3648

Phone

(302) 651-4407

Fax

(302) 651-4457

NPI assigned

Apr 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Nemours FoundationGroup PAC ID 9537072483, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Wilmington, DE
  • NPI 1366594699
  Medicare reassignment Care Compare group
• Eye Physicians & Surgeons, PA

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1972695435
  Medicare reassignment
• The Nemours Foundation

  • Clinic/Center
  • Wilmington, DE
  • NPI 1811034630
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1114284544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROCKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033648",
            "telephone_number": "302-651-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROCKLAND RD",
            "address_2": "NEMOURS SENIOR CARE OPHTHALMOLOGY CLINIC",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033648",
            "telephone_number": "302-651-4407",
            "fax_number": "302-651-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Rockland Road",
            "address_2": "Pediatric Ophthalmology Clinic",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-4355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "DE",
            "postal_code": "199634366",
            "country_code": "US",
            "telephone_number": "302-424-5420",
            "fax_number": "302-424-5426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLO",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IBC",
            "identifier": "3910908000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HIGHMARK",
            "identifier": "002792476",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102878493",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Gallagher-Krezel, CHC
• Jean M. Gallagher, APN
• Mary Gallagher
• Christine Ann Gallati, MD
• Kishon Gallmon
• Tiffaney Gallo
• Anah Galloway, LPCMH
• Michelle D Galloway, FNP-C
• Teresa Ann Galloway
• Jacqueline Galya, MSOT, OTR/L

• Optometrist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Optometrist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.

Verify at the official NPI Registry.