Individual provider Active NPI

Juan Manuel Galvis, M.D.

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1295173417
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49201 Issued in KY
Practice address
401 E Chestnut St Unit 690
Louisville, KY 40202-5706
Phone
(502) 588-4710
Fax
(502) 588-4771
NPI assigned
Jun 10, 2013
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49201 KY
Internal Medicine Physician 207R00000X BP10047612 TX
Pulmonary Disease Physician 207RP1001X 49201 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 690
Louisville, KY 40202-5706

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-4710

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 545-6618

Other practice location 2

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 545-6618

Other practice location 3

1025 New Moody Ln
LA Grange, KY 40031-9154
Phone (502) 222-3255

Other identifiers 1

IdentifierTypeStateIssuer
49201OtherKYMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180629000312 KY Practitioner - Internal Medicine 2961779681 Reassigns benefits to 2 organizations
I20220804003804 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2961779681 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCCT Medical Group PCGroup PAC ID 4183978026, 12 clinicians
Palmdale Intensivist IncGroup PAC ID 1355880865, 15 clinicians

Practice addresses (Care Compare)

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone 66120020001122

38600 Medical Ctr Dr
Palmdale, CA 93551-4483
Phone (661) 382-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49201KYMDInternal Medicine Physician
BP10047612TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmdale Intensivist Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Av Critical Care Inc CurrentSince May 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2023 Accepting new patients
Ravi S Shankar MD Professional Corp Pulmonary Disease CurrentSince May 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
Av Intensivist Group Inc CurrentSince Nov 18, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2020 Accepting new patients
24 On Physicians, PC CurrentSince Jun 15, 2018 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
24 On Physicians, P.C. CurrentSince Jun 15, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 17, 2023 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
SCCT Medical Group, PC Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44215 15th St W
Ste 105
Lancaster, CA 93534
Phone (661) 273-5125

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

7752 Solution Ctr
Chicago, IL 60677

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

401 E Chestnut St
Unit 690
Louisville, KY 40202
Phone (502) 588-4710

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: jgalvis230758@santaclaravalley.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1295173417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-4710",
            "fax_number": "502-588-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 690",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025706",
            "telephone_number": "502-588-4710",
            "fax_number": "502-588-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-545-6618",
            "fax_number": "915-545-6638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-545-6618",
            "fax_number": "915-545-6638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 New Moody Ln",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319154",
            "country_code": "US",
            "telephone_number": "502-222-3255",
            "fax_number": "502-225-6510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVIS",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-10-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10047612",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "49201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49201",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.