Lisa G Gallucci, PA- C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0002164 Issued in MD

Practice address

15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353

Phone

(301) 340-3252

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.rainsford.capitaldigestivecare@directaddress.net

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.

• Capital Digestive Care LLC

  • Gastroenterology Physician
  • Silver Spring, MD
  • NPI 1164683181

  DC

  Medicare reassignment Care Compare group
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Temple Hills, MD
  • NPI 1437997988
  NPD
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • National Harbor, MD
  • NPI 1831937382
  NPD
• Endoscopy Center of Washington DC LP

  • Ambulatory Surgical Clinic/Center
  • Washington, DC
  • NPI 1154301240
  NPD
• David a. Morowitz

  • Gastroenterology Physician
  • Chevy Chase, MD
  • NPI 1508280728
  NPD (past)
• First Class Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Chevy Chase, MD
  • NPI 1043524671
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Suffolk, VA
  • NPI 1760541460

  Physician Assistant

  NPD (past)
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Williamsburg, VA
  • NPI 1992752521
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1548289986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014462",
            "telephone_number": "240-485-5210",
            "fax_number": "301-625-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 SHADY GROVE RD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506353",
            "telephone_number": "301-340-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14955 Shady Grove Rd",
            "address_2": "Suie 150",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508700",
            "country_code": "US",
            "telephone_number": "301-340-3252",
            "fax_number": "301-340-1423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gallo
• Aryn Galloway
• Ayana Galloway
• Chaquinta Galloway
• Esther Galloway
• Mariana Galvan-Flores
• Aaron Eli Franks Galvin, PA-C
• Manish K Gambhir, M.D.
• Jasmine Leah Gambino, LCSW-C
• Verona Gambino

• Physician Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; 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.