Active NPI
Jim-David Gaglione, MD
- Family Medicine Physician
- Virginia Beach, VA
National Provider Identifier
1487629796
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101048671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.