Individual provider Active NPI

Robert P Gallegos, M.D., PH.D

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Des Moines, IA
National Provider Identifier
1205870805
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD-44716 Issued in IA
Practice address
1215 Pleasant St Ste 618
Des Moines, IA 50309
Phone
(515) 875-9090
NPI assigned
Jun 15, 2006
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 43505 MN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 097218 OH
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 44517 KY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD2015-0676 NM
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X U0481 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD-44716 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 618
Des Moines, IA 50309

Mailing address

7147 Vista Dr Ste 150
West Des Moines, IA 50266-9313
Phone (515) 875-9925

Other practice location 1

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 606-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IA, DC, TX, NE5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20151201000382 NM Practitioner - Thoracic SurgeryPractitioner - General Surgery 2365436417 Reassigns benefits to 1 organization
I20171207002287 IA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 2365436417 Reassigns benefits to 3 organizations
I20230125002524 DC Practitioner - Thoracic Surgery 2365436417 Reassigns benefits to 1 organization
I20230608000587 TX Practitioner - Thoracic Surgery 2365436417 Reassigns benefits to 1 organization
I20231010000686 NE Practitioner - Cardiovascular Disease (Cardiology) 2365436417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, San Diego School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, 951 clinicians

Practice addresses (Care Compare)

16909 Lakeside Hills CT
Omaha, NE 68130-4661

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43505MNMDSurgery Physician
MD-44716IAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
44517KYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
097218OHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
U0481TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jan 2, 2018 Accepting new patients
Central Iowa Hospital Corporation Family Medicine CurrentSince Jan 2, 2018 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Apr 25, 2023 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Dec 24, 2022 Accepting new patients
Unm Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
Alegent Creighton Clinic Family Medicine CurrentSince Oct 15, 2023 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jul 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 25, 2023 Accepting new patients
North Iowa Mercy Clinics Family Medicine Current Accepting new patients
Unm Medical Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Mother Frances Hospital Jacksonville Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Jul 1, 2022 Accepting new patients
Sibley Medical Center Past Accepting new patients
Mason City Clinic PC Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Alegent Health Bergan Mercy Health System Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

1215 Pleasant St
Ste 618
Des Moines, IA 50309
Phone (515) 875-9090

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

250 S Crescent Dr
Ste 200
Mason City, IA 50401
Phone (641) 494-5300

2771 Solution Ctr
Chicago, IL 60677

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1205870805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 VISTA DR STE 150",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669313",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 618",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-875-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 S Fleishel Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012015",
            "country_code": "US",
            "telephone_number": "903-606-7525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "43505",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "097218",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "44517",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "MD2015-0676",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "U0481",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "MD-44716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.