Active NPI
Ralph C. Gallo, M.D.
- Pediatric Sleep Medicine Physician
- Wynnewood, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Sleep Medicine Physician
- License
- MD016803E
- Practice address
- 505 Sussex Rd
Suite 200
Wynnewood, PA 19096-2203 - Phone
- (610) 649-1398
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD016803E | PA | |
| Pediatric Sleep Medicine Physician | 2080S0012X | MD016803E | PA | Primary |
Addresses
Primary practice location
505 Sussex Rd
Suite 200
Wynnewood, PA 19096-2203
Mailing address
505 Sussex Rd
Wynnewood, PA 19096-2203
Phone (610) 649-1398
Other practice location 1
750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01540868 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, ND, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health System Inc | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Shasta Sleep Services LLC | Current | Accepting new patients | |
| The Memorial Hospital | Current | Accepting new patients | |
| Southwest Health System, Inc. | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| The Memorial Hospital | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1311 N Mildred Rd
Ste B
Cortez, CO 81321
1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666
750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411
2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
Organizations & group practices 8
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.
-
- Clinic/Center
- Grand Forks, ND
- NPI 1043309552
-
- Critical Access Hospital
- Cortez, CO
- NPI 1649241571
-
- Critical Access Hospital
- Craig, CO
- NPI 1063418424
-
- Ambulance
- Grand Forks, ND
- NPI 1114485315
-
- Sleep Disorder Diagnostic Clinic/Center
- Redding, CA
- NPI 1699122762
-
- Pharmacy
- Cortez, CO
- NPI 1386917862
-
- Land Ambulance
- Craig, CO
- NPI 1669288809
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1255372876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SUSSEX RD",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962203",
"telephone_number": "610-649-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SUSSEX RD",
"address_2": "SUITE 200",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190962203",
"telephone_number": "610-649-1398"
}
],
"practiceLocations": [
{
"address_1": "750 Hospital Loop",
"address_purpose": "LOCATION",
"city": "Craig",
"state": "CO",
"postal_code": "816258750",
"country_code": "US",
"telephone_number": "970-824-9411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLO",
"first_name": "RALPH",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD016803E",
"primary": false
},
{
"code": "2080S0012X",
"taxonomy_group": "",
"desc": "Pediatrics, Sleep Medicine",
"state": "PA",
"license": "MD016803E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01540868",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.