Individual provider Active NPI

Jim-David Gaglione, MD

  • Family Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1487629796
Registry record updated Oct 1, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Sep 19, 2019.
  • Section 1128b(4) exclusion effective Sep 20, 2018.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101048671 Issued in VA
Practice address
397 Little Neck Rd
3300 South Building, Suite 314
Virginia Beach, VA 23452-5765
Phone
(757) 773-2668
Fax
(757) 299-4141
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101048671 VA Primary

Addresses

Primary practice location

397 Little Neck Rd
3300 South Building, Suite 314
Virginia Beach, VA 23452-5765

Mailing address

397 Little Neck Rd
3300 South Building, Suite 314
Virginia Beach, VA 23452-5765
Phone (757) 773-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1487629796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BUILDING, SUITE 314",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-773-2668",
            "fax_number": "757-299-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 LITTLE NECK RD",
            "address_2": "3300 SOUTH BUILDING, SUITE 314",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525765",
            "telephone_number": "757-773-2668",
            "fax_number": "757-299-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIONE",
        "first_name": "JIM-DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101048671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.