Michael Haden Gallichio, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

236244 Issued in NY

Practice address

62 Hackett Blvd
Albany, NY 12209-1756

Phone

(518) 434-2244

Fax

(518) 434-4659

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, SC2 enrollments

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 2

Specialty

General Surgery

Education

Albany Medical College of Union University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Nephrology and Dialysis Access Surgery, P.C.Group PAC ID 5991793598, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Peter'S Hospital Hospital, Albany, NY, CCN 330057

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgallichio@nenephrology.medentdirect.com
• Direct secure messaging: mgallichio788243@direct.trinity-health.org

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.

• New York Nephrology and Dialysis Access Surgery, P.C.

  • Nephrology Physician
  • Albany, NY
  • NPI 1558338806
  Medicare reassignment Care Compare group NPD

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

• St. Peter'S Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1497701106
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1508956400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLICHIO",
        "first_name": "MICHAEL",
        "middle_name": "HADEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "236244",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "236244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Galka, DO
• Dawn Gallagher, COTA
• Emily Kreinick Gallagher, LCSW
• Mary Ellen Gallagher, NP, CNM
• Michelle N Gallant, CNM
• James Peter Galliher, LCSW
• Gallo Pediatric Dentistry, PLLC
• Jenna M. Gallo, LMSW
• Johnae Patrice Galloway
• Allyson Elizabeth Gallup, PA

• Surgery Physician in Albany, NY
• Providers in Albany, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.