Active NPI
Molly Gallaway, D.O.
- Gastroenterology Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101021634
- Practice address
- 28963 Little Mack Ave Ste 101
Saint Clair Shores, MI 48081-3017 - Phone
- (586) 447-0700
- NPI assigned
- Jun 12, 2015
- Last updated
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101021634 | MI | Primary |
Addresses
Primary practice location
28963 Little Mack Ave Ste 101
Saint Clair Shores, MI 48081-3017
Mailing address
28963 Little Mack Ave Ste 101
Saint Clair Shores, MI 48081-3017
Phone (586) 447-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.49 of 100
- Quality
- 91.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.54
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 87 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 65 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Gi Medical Assoc PC | Gastroenterology | Current | Accepting new patients |
| Henry Ford Health System | Gastroenterology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
3601 W 13 Mile Rd
Royal Oak, MI 48073
28963 Little Mack Ave
Ste 101
St Clr Shores, MI 48081
Phone (586) 447-0228
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- mgallaway297226@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Gi Medicine Associates PC
- Gastroenterology Physician
- Saint Clair Shores, MI
- NPI 1154311405
-
- Gastroenterology Physician
- Detroit, MI
- NPI 1205909892
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1578944849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28963 LITTLE MACK AVE STE 101",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813017",
"telephone_number": "586-447-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28963 LITTLE MACK AVE STE 101",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813017",
"telephone_number": "586-447-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAWAY",
"first_name": "MOLLY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101021634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.