NPIMap

Individual provider Active NPI

Susan J. Gallo, MD

  • Family Medicine Physician
  • Miles City, MT
National Provider Identifier
1619089687
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8212 Issued in MT
Practice address
620 S Haynes Ave
Miles City, MT 59301-4769
Phone
(406) 233-7000
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8212 MT Primary

Addresses

Primary practice location

620 S Haynes Ave
Miles City, MT 59301-4769

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500

Other identifiers 2

IdentifierTypeStateIssuer
000097105OtherMTBCSB PIN
0073117OtherMTMDCD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgallo@billingsclinic.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001266 MT Practitioner - Family Practice 2961483136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Rosary HealthcareGroup PAC ID 8921045667, 49 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

620 S Haynes Ave
Miles City, MT 59301-4769
Phone (406) 233-7000

Hospital & facility affiliations

  • Granite Peak Home Health Home health agency, Miles City, MT, CCN 277079
  • Holy Rosary Hospice Hospice, Miles City, MT, CCN 271519
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347
  • Glendive Medical Center Hospital, Glendive, MT, CCN 271332
  • Holy Rosary Hospital Nursing home, CCN 27Z347

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8212MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic Family Medicine CurrentSince Mar 21, 2009 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Mar 21, 2009 Accepting new patients
Holy Rosary Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

620 S Haynes Ave
Miles City, MT 59301
Phone (406) 233-7000

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301

Interoperability endpoints

  • Direct secure messaging: sgallo@billingsclinic.cernerdirect.com

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1619089687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014769",
            "telephone_number": "406-233-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "8212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCSB PIN",
            "identifier": "000097105",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0073117",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgallo@billingsclinic.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "620 S Haynes Ave",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593014769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.