NPIMap

Individual provider Active NPI

William Colin Gallahan, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1508040213
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010-00678 Issued in NC
Practice address
Wake Forest University Health Sciences
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone
(336) 716-2255
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2010-00678 NC Primary

Addresses

Primary practice location

Wake Forest University Health Sciences
Medical Center Boulevard
Winston Salem, NC 27157-0001

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000644 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 9133250004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Gastroenterology Associates, Inc.Group PAC ID 8426950692, 39 clinicians

Practice addresses (Care Compare)

223 Wadsworth Dr
North Chesterfield, VA 23236-4510
Phone (804) 330-4021

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Sheltering Arms Institute Inpatient rehabilitation facility, Richmond, VA, CCN 493036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy119
Upper gastrointestinal (GI) endoscopy for acid reflux173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00678NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Gastroenterology Associates, Inc. CurrentSince Jul 11, 2011 Accepting new patients
Infusion Solutions LLC Internal Medicine Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Gastrointestinal Specialists LLC Past Accepting new patients

Locations

165 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 272-9146

169 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 330-4201

107 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 330-4901

261 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 895-7374

215 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 497-4973

223 Wadsworth Dr
North Chesterfield, VA 23236

1630 Wilkes Ridge Pkwy
Ste 202
Richmond, VA 23233
Phone (804) 330-7840

2369 Staples Mill Rd
Ste 100
Richmond, VA 23230
Phone (804) 354-8818

1600 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 330-7840

8700 Stony Point Pkwy
Ste 100
Richmond, VA 23235
Phone (804) 775-4500

1600 Wilkes Ridge Dr
Ste 100
Richmond, VA 23233
Phone (703) 563-0042

Interoperability endpoints

  • Direct secure messaging: cgallahan@directaddress.net

Organizations & group practices 4

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1508040213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
            "address_2": "MEDICAL CENTER BOULEVARD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHAN",
        "first_name": "WILLIAM",
        "middle_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.