Individual provider Active NPI

Todd Galle, DPM

  • Podiatrist
  • Tigard, OR
National Provider Identifier
1629048533
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0511 Issued in AZ
Practice address
9900 SW Hall BVLD
Suite 100
Tigard, OR 97223-5843
Phone
(503) 245-2420
Fax
(503) 245-2445
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0511 AZ Primary

Addresses

Primary practice location

9900 SW Hall BVLD
Suite 100
Tigard, OR 97223-5843

Mailing address

9900 SW Hall BVLD
Suite 100
Tigard, OR 97223-5843
Phone (503) 245-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000350 OR Practitioner - Podiatry 8820281975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Extremity Specialists LLCGroup PAC ID 3577881747, 21 clinicians

Practice addresses (Care Compare)

9115 SW Oleson Rd
Suite 205
Portland, OR 97223-6877
Phone (503) 245-2420

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue425
Removal or shaving of skin growth264
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Extremity Specialists LLC Podiatrist CurrentSince Jun 1, 2015 Accepting new patients
Northwest Extremity Specialists LLC CurrentSince Jun 1, 2015 Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients
Podiatric Physicians of Arizona, Inc. Past Accepting new patients

Locations

16144 SE Happy Vly Twn Center Dr
Ste 101
Happy Valley, OR 97086
Phone (503) 353-1272

6542 SE Lake Rd
Ste 102
Portland, OR 97222
Phone (503) 659-6686

12400 NW Cornell Rd
Ste 201
Portland, OR 97229
Phone (503) 643-1737

9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 243-5710

18040 SW Lower Boones Ferry Rd
Ste 207
Tigard, OR 97224
Phone (503) 216-5380

9900 SW Hall Blvd
Ste 100
Tigard, OR 97223

Interoperability endpoints

  • Direct secure messaging: todd.galle@pfac.eclinicaldirectplus.com

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 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1629048533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW HALL BVLD",
            "address_2": "SUITE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235843",
            "telephone_number": "503-245-2420",
            "fax_number": "503-245-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 SW HALL BVLD",
            "address_2": "SUITE 100",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235843",
            "telephone_number": "503-245-2420",
            "fax_number": "503-245-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLE",
        "first_name": "TODD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.