Steven Richard Gallo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036087729 Issued in IL

Practice address

676 N Michigan Ave
Suite 3120
Chicago, IL 60611-2883

Phone

(312) 780-2301

Fax

(312) 780-2304

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2008 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: steven.gallo.1@28513.direct.athenahealth.com

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.

• Chicago Institute of Neurosurgery & Neuroresearch

  • Neurological Surgery Physician
  • Chicago, IL
  • NPI 1326099391
  NPD (past)
• MD2 Chicago

  • Exclusive Provider Organization
  • Chicago, IL
  • NPI 1568742542
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1548253024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "SUITE 3120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-780-2301",
            "fax_number": "312-780-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "SUITE 3120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-780-2301",
            "fax_number": "312-780-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Gallinati, APN
• Cecilia Gallo, CNP
• Jillian Gallo, RN
• Mirka Camila Gallo, LCSW
• Ryan Alexander Gallo, MD, PHD
• Valerie Marie Gallo, NNP-BC
• Lorenzo Gallon, MD
• Kristina K Gallow
• Anna Galloway, MT-BC
• Benjamin Galloway, DPM

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.