Active NPI
Nicholas Ryan Galloway, MD
- Diagnostic Radiology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD60979643
- Practice address
- 11511 NE 10TH St
Bellevue, WA 98004-8578 - Phone
- (425) 502-3000
- Fax
- (844) 620-1839
- NPI assigned
- Apr 22, 2014
- Last updated
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A161128 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD60979643 | WA | Primary |
Addresses
Primary practice location
11511 NE 10TH St
Bellevue, WA 98004-8578
Mailing address
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Other practice location 1
1245 16th St Ste 105
Santa Monica, CA 90404-1239
Phone (310) 301-6800
Other practice location 2
757 Westwood Plz Ste 1638
Los Angeles, CA 90095-1221
Phone (310) 267-8796
Other practice location 3
19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155911 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11511 NE 10TH St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161128 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc., P.S. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Okanogan County Public Hospital District No. 3 | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Lambert Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755
21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123
11511 NE 10th St
Hunts Point, WA 98004
Phone (425) 502-3000
510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030
11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001
1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000
810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760
1101 Madison St
Ste 580
Seattle, WA 98104
Phone (206) 400-7625
1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Interoperability endpoints
- ngalloway4353344@ghc.direct-ci.net
- nicholas.galloway.p42@direct.proliance.nextgenshare.com
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
dba Mid-Valley Hospital
- Critical Access Hospital
- Omak, WA
- NPI 1255387403
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
dba Martin Lurher King Jr. Community Medical Group
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Surgical Specialists of Edmonds
- Surgery Physician
- Edmonds, WA
- NPI 1073540894
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
- Diagnostic Radiology Physician
- Whittier, CA
- NPI 1609826684
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
Hospital
-
- General Acute Care Hospital
- Redmond, WA
- NPI 1609906825
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1861522088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1225458839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000",
"fax_number": "844-620-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 NE 10TH ST",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048578",
"telephone_number": "425-502-3000",
"fax_number": "844-620-1839"
}
],
"practiceLocations": [
{
"address_1": "1245 16th St Ste 105",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041239",
"country_code": "US",
"telephone_number": "310-301-6800",
"fax_number": "310-794-9035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "757 Westwood Plz Ste 1638",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900951221",
"country_code": "US",
"telephone_number": "310-267-8796",
"fax_number": "310-267-2059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19020 33rd Ave W Ste 210",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980364748",
"country_code": "US",
"telephone_number": "425-563-1500",
"fax_number": "425-563-1501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLOWAY",
"first_name": "NICHOLAS",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A161128",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60979643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2155911",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.