Individual provider Active NPI

Ralph C. Gallo, M.D.

  • Pediatric Sleep Medicine Physician
  • Wynnewood, PA
National Provider Identifier
1255372876
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
MD016803E Issued in PA
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

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01540868MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ND, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100414000178 PA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7315954492 Practice locations: Wynnewood, PA
I20220913002389 ND Practitioner - Sleep Medicine 7315954492 Reassigns benefits to 1 organization
I20240522004106 CO Practitioner - Sleep Medicine 7315954492 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health System Inc CurrentSince Jul 1, 2025 Accepting new patients
Altru Health System CurrentSince May 20, 2022 Accepting new patients
Shasta Sleep Services LLC CurrentSince Jul 11, 2016 Accepting new patients
The Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Southwest Health System, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Altru Health System CurrentSince May 20, 2022 Accepting new patients
The Memorial Hospital CurrentSince Apr 1, 2024 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.

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

Verify at the official NPI Registry.