Individual provider Active NPI

Samuel Uriah Gallo, DNP, FNP

  • Family Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1578944724
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A096250 Issued in IA
Practice address
500 E Market St
Iowa City, IA 52245-2633
Phone
(319) 339-3551
NPI assigned
Jun 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A096250 IA Primary

Addresses

Primary practice location

500 E Market St
Iowa City, IA 52245-2633

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 339-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150826000252 IA Practitioner - Nurse Practitioner 3678889375 Reassigns benefits to 1 organization
I20160718002462 ID Practitioner - Nurse Practitioner 3678889375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

500 E Market St
University of Iowa Health Care Medical Cent
Iowa City, IA 52245-2633
Phone (319) 339-0300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A096250IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Health Emergency Medicine Idaho, PLLC CurrentSince Jan 20, 2020 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jun 13, 2016 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1578944724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-339-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MARKET ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452633",
            "telephone_number": "319-339-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "SAMUEL",
        "middle_name": "URIAH",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-13",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A096250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.