Kevin Andrew Gallagher, MD
Individual provider Active NPI Family Medicine Physician · Warrensburg, NY
NPI 1194778464 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1194778464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 235580 (NY)
- Practice address
- 3767 Main Street
Warrensburg, NY 12885-1890 - Phone
- (518) 623-2844
- Fax
- (518) 623-3416
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hudson Headwaters Health Network
Practice addresses (Care Compare)
24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- HCR / HCR Home Care Chha (Plattsburgh)
- Essex County Nursing Service
- High Peaks Hospice and Palliative Care, Inc
- Glens Falls Hospital
- Albany Medical Center Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060615000279 | NY | Practitioner - Family Practice | 9335151273 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Family Medicine | Current |
Accepting new patients |
| Hudson Headwaters Health Network | Family Medicine | Current |
Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
126 Ski Bowl Rd
North Creek, NY 12853
Phone (518) 251-2541
9 Carey Rd
Queensbury, NY 12804
3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844
Interoperability endpoints
- kevin.gallagher.1@1823.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 235580 | NY | Yes |
Addresses
Primary practice location
3767 Main Street
Warrensburg, NY 12885-1890
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02753006 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevin.gallagher.1@1823.direct.athenahealth.com |
Other providers in Warrensburg, NY
- Jeremy Andrew Di Bari
- Joann Elizabeth Donohue
- Robert J French
- Andrew C Frenyea
- Janine N Gadjo
- David Gearwar
- Theresa D Gibbs
- James Andrew Gorton
- Eldon Ray Hall
- Brittany Kathleen Hamblin
All providers in Warrensburg, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.