Individual provider Active NPI

Sean M Gallagher, MD

  • Pediatrics Physician
  • Westerville, OH
National Provider Identifier
1295120194
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.132344 Issued in OH
Practice address
400 Altair Pkwy Ste 4400
Westerville, OH 43082-7654
Phone
(614) 891-4705
Fax
(614) 568-8050
NPI assigned
Mar 30, 2015
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.132344 OH Primary

Addresses

Primary practice location

400 Altair Pkwy Ste 4400
Westerville, OH 43082-7654

Mailing address

400 Altair Pkwy Ste 4400
Westerville, OH 43082-7654
Phone (614) 891-4705

Other identifiers 1

IdentifierTypeStateIssuer
0323308MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231114002401 OH Practitioner - Pediatric Medicine 1850692542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.132344OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Sep 28, 2023 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 28, 2023 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

400 Altair Pkwy
Ste 4400
Westerville, OH 43082
Phone (614) 891-4105

655 Africa Rd
Westerville, OH 43082

890 High St
Ste 200
Worthington, OH 43085
Phone (614) 540-7339

Interoperability endpoints

  • Direct secure messaging: sgallagher25712@copcp.medicity.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1295120194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 4400",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827654",
            "telephone_number": "614-891-4705",
            "fax_number": "614-568-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ALTAIR PKWY STE 4400",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827654",
            "telephone_number": "614-891-4705",
            "fax_number": "614-568-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.132344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323308",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.