Individual provider Active NPI

Megan Nicole Gallo, CRNP

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaver, PA
National Provider Identifier
1124596960
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
SP019237 Issued in PA
Practice address
246 Friendship Cir
Beaver, PA 15009-9704
Phone
(878) 201-3312
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X SP019237 PA Primary

Addresses

Primary practice location

246 Friendship Cir
Beaver, PA 15009-9704

Mailing address

140 Broadstone Dr
Mars, PA 16046-5204
Phone (412) 583-7474

Other practice location 1

2349 Mill St
Aliquippa, PA 15001-2219
Phone (878) 201-3312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190103000105 PA Practitioner - Nurse Practitioner 7810232378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

480 E Jefferson St
Butler, PA 16001-4780
Phone (724) 282-1530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP019237PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Personal Care Medical Associates, LLC Past Accepting new patients

Locations

480 E Jefferson St
Butler, PA 16001
Phone (724) 282-1530

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1124596960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BROADSTONE DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160465204",
            "telephone_number": "412-583-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FRIENDSHIP CIR",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099704",
            "telephone_number": "878-201-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349 Mill St",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150012219",
            "country_code": "US",
            "telephone_number": "878-201-3312",
            "fax_number": "878-201-3584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLO",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "SP019237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.