Individual provider Active NPI

Sidhbh Gallagher

  • Plastic and Reconstructive Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1265697973
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
10174677A Issued in IN
Practice address
2601 SW 37TH St.
803
Miami Beach, FL 33133
Phone
(317) 274-3636
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME140163 FL
Plastic and Reconstructive Surgery Physician 2086S0122X 10174677A IN Primary

Addresses

Primary practice location

2601 SW 37TH St.
803
Miami Beach, FL 33133

Mailing address

2601 SW 37TH St.
803
Miami, FL 33133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150924002050 IN Practitioner - Plastic and Reconstructive Surgery 2264679174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME140163FLMDPlastic and Reconstructive Surgery Physician
10174677AINMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgeons Inc. Plastic and Reconstructive Surgery CurrentSince Mar 2, 2018 Accepting new patients

Locations

545 Barnhill Dr
#215
Indianapolis, IN 46202
Phone (317) 274-7949

545 Barnhill Dr
Ste 232
Indianapolis, IN 46202
Phone (317) 274-3636

545 Barnhill Dr
#232
Indianapolis, IN 46202
Phone (317) 274-3636

Interoperability endpoints

  • Direct secure messaging: sgallagher306618@mhsdirect.net

Organizations & group practices 1

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1265697973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH ST.",
            "address_2": "803",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH ST.",
            "address_2": "803",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "317-274-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SIDHBH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME140163",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "10174677A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.