Individual provider Active NPI

Nicholas R Galardi, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1609018928
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101261517 Issued in VA
Practice address
1817 Republic Rd
Virginia Beach, VA 23454-4543
Phone
(757) 496-5556
Fax
(757) 496-4939
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 0101261517 VA Primary

Addresses

Primary practice location

1817 Republic Rd
Virginia Beach, VA 23454-4543

Mailing address

5220 Club Head Rd
Virginia Beach, VA 23455-6807
Phone (304) 374-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170717001317 VA Practitioner - Plastic and Reconstructive Surgery 9830469352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
West Virginia University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magee-Rosenblum Plastic Surgery, IncGroup PAC ID 5597741231, 2 clinicians

Practice addresses (Care Compare)

1817 Republic Rd
Virginia Beach, VA 23454-4543
Phone (757) 496-5556

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261517VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magee-Rosenblum Plastic Surgery, Inc Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Chesapeake Bay ENT PC Single Specialty Past Accepting new patients

Locations

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

300 Medical Pkwy
Ste 316
Chesapeake, VA 23320
Phone (757) 547-0047

400 W Brambleton Ave
Ste 103
Norfolk, VA 23510
Phone (757) 627-6700

1817 Republic Rd
Virginia Beach, VA 23454
Phone (757) 491-3204

Interoperability endpoints

  • Direct secure messaging: nicholas.galardi.1@31190.direct.athenahealth.com
  • Direct secure messaging: nicholasgalardi@rps.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1609018928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 CLUB HEAD RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556807",
            "telephone_number": "304-374-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 REPUBLIC RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544543",
            "telephone_number": "757-496-5556",
            "fax_number": "757-496-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALARDI",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101261517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.