Individual provider Active NPI

Gina Louise Gallizzi, M.D.

  • Pediatrics Physician
  • Stafford, VA
National Provider Identifier
1306049705
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.29252 Issued in AL
Practice address
101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone
(813) 786-8261
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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 MD.29252 AL Primary
Pediatrics Physician 208000000X 0101252251 VA

Addresses

Primary practice location

101 Hospital Center Blvd
Stafford, VA 22554-6200

Mailing address

101 Hospital Center Blvd
Stafford, VA 22554-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20120823000148 DC Practitioner - Pediatric Medicine 2466578711 Reassigns benefits to 1 organization
I20120911000835 VA Practitioner - Pediatric Medicine 2466578711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S HospitalGroup PAC ID 0244143170, 212 clinicians

Practice addresses (Care Compare)

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (301) 572-3514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.29252ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatrics CurrentSince Aug 1, 2012 Accepting new patients
Children'S Hospital CurrentSince Aug 1, 2012 Accepting new patients
Children'S Hospital Current Accepting new patients
Mary Washington Healthcare Physicians Pediatrics CurrentSince Aug 1, 2012 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 1, 2012 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

Interoperability endpoints

  • Direct secure messaging: ggallizzi31376@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 6

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1306049705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CENTER BLVD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL CENTER BLVD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546200",
            "telephone_number": "813-786-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIZZI",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.29252",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101252251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.