Organization Active NPI

Walter a. del Gallo, M.D.,P.a.

  • Durable Medical Equipment & Medical Supplies
  • CRP Christi, TX
National Provider Identifier
1326249509
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
K0710 Issued in TX
Legal business name
WALTER A. DEL GALLO, M.D.,P.A.
Practice address
14317 NW Blvd
Ste a
CRP Christi, TX 78410-5536
Phone
(361) 241-0324
Fax
(361) 387-4153
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Authorized official

Name
Dr. Walter A. Del Gallo, M.DNPI 1780746644
Title
Owner
Phone
(361) 241-0324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X K0710 TX Primary

Addresses

Primary practice location

14317 NW Blvd
Ste a
CRP Christi, TX 78410-5536

Mailing address

14317 NW Blvd
Ste a
CRP Christi, TX 78410-5536
Phone (361) 241-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100802000139 TX Part B Supplier - Clinic/Group Practice 6002949757 Receives reassigned benefits from 1 practitioner
Practice locations: Corpus Christi, TX
O20100930062493 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6002949757 Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Tax ID family
Walter a del Gallo Mdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1326249509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14317 NW BLVD",
            "address_2": "STE A",
            "city": "CRP CHRISTI",
            "state": "TX",
            "postal_code": "784105536",
            "telephone_number": "361-241-0324",
            "fax_number": "361-387-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14317 NW BLVD",
            "address_2": "STE A",
            "city": "CRP CHRISTI",
            "state": "TX",
            "postal_code": "784105536",
            "telephone_number": "361-241-0324",
            "fax_number": "361-387-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER A. DEL GALLO, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "DEL GALLO",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-241-0324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "K0710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in CRP Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.