Individual provider Active NPI

Francene M Gallousis, MD

  • Maternal & Fetal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1578558003
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
72093 Issued in AZ
Practice address
6367 E Tanque Verde Rd Ste 200
Tucson, AZ 85715-3832
Phone
(520) 392-7500
NPI assigned
Sep 12, 2005
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 72093 AZ Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 193633 NY

Addresses

Primary practice location

6367 E Tanque Verde Rd Ste 200
Tucson, AZ 85715-3832

Mailing address

PO Box 81064
Cleveland, OH 44181-0064

Other practice location 1

400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone (914) 666-1010

Other practice location 2

6261 N La Cholla Blvd Ste 2
Tucson, AZ 85741-3565
Phone (520) 392-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20210730001253 NY Practitioner - Obstetrics/Gynecology 2466855200 Reassigns benefits to 1 organization
I20250317002261 AZ Practitioner - Obstetrics/Gynecology 2466855200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

1521 E Tangerine Rd
Suite 361
Oro Valley, AZ 85755-6224
Phone (520) 545-0573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72093AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

6261 N La Cholla Blvd
Ste 2
Tucson, AZ 85741

6261 N La Cholla Blvd
Ste 3
Tucson, AZ 85741

6367 E Tanque Verde Rd
Ste 200
Tucson, AZ 85715
Phone (520) 290-5888

6565 E Carondelet Dr
Ste 300
Tucson, AZ 85710
Phone (520) 296-8500

Interoperability endpoints

  • Direct secure messaging: francene.gallousis.1@19050.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1578558003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 E TANQUE VERDE RD STE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153832",
            "telephone_number": "520-392-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Main St",
            "address_2": "Northern Westchester Hospital",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105493417",
            "country_code": "US",
            "telephone_number": "914-666-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6261 N La Cholla Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413565",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOUSIS",
        "first_name": "FRANCENE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "72093",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "193633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.