Individual provider Active NPI

Katherine E. Galluzzi, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1336140979
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
OS007995L Issued in PA
Practice address
4190 City Ave
Suite 315
Philadelphia, PA 19131-1626
Phone
(215) 871-6844
Fax
(215) 871-6932
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X OS007995L PA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 25MB04692900 NJ

Addresses

Primary practice location

4190 City Ave
Suite 315
Philadelphia, PA 19131-1626

Mailing address

4190 City Ave
Suite 315
Philadelphia, PA 19131-1626
Phone (215) 871-6844

Other identifiers 1

IdentifierTypeStateIssuer
001091860MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031120000095 PA Practitioner - Geriatric MedicinePractitioner - Family Practice 9537063896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
West Virginia School of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philadelphia College of Osteopathic MedicineGroup PAC ID 0648179234, 30 clinicians

Practice addresses (Care Compare)

4190 City Ave
Suite 315
Philadelphia, PA 19131-1633
Phone (215) 871-6384

4190 City Line Ave
Philadelphia, PA 19131-1626

4190 City Line Ave
Philadelphia, PA 19131-1633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
69.85
Promoting interoperability
54
Improvement activities
40
Cost
75.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB04692900NJMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia College of Osteopathic Medicine Geriatric Medicine CurrentSince Nov 9, 1992 Accepting new patients
Residentialist Housecall Med GRP, PC a Pennsylvania Corp Geriatric Medicine CurrentSince Feb 22, 2016 Accepting new patients
Housecall Doctors Medical Group Inc Geriatric Medicine PastSince Feb 22, 2016 Accepting new patients
Philadelphia College of Osteopathic Medicine Past Accepting new patients
Bala Nursing & Ret CNTR LTD Ptrshp Ford Rd Corp Past Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

4190 City Line Ave
Ste 315
Philadelphia, PA 19131
Phone (215) 871-6337

4148 Lancaster Ave
Philadelphia, PA 19104
Phone (215) 662-0119

2100 W Cambria St
Philadelphia, PA 19132
Phone (215) 578-3300

4190 City Ave
Ste 528
Philadelphia, PA 19131
Phone (866) 453-8800

4190 City Line Ave
Ste 777
Philadelphia, PA 19131
Phone (215) 871-6380

5830 Henry Ave
Philadelphia, PA 19128
Phone (215) 483-2300

Interoperability endpoints

  • Direct secure messaging: katherine.galluzzi@hdmg.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: katherine.galluzzi@direct.pcom.nextgenshare.com

Organizations & group practices 5

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.

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1336140979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "address_2": "SUITE 315",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6844",
            "fax_number": "215-871-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "address_2": "SUITE 315",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626",
            "telephone_number": "215-871-6844",
            "fax_number": "215-871-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZI",
        "first_name": "KATHERINE",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "OS007995L",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MB04692900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001091860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.