Rosalio T Gallegos

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144406 Issued in TX

Practice address

21844 Waldon MNR
San Antonio, TX 78261-4428

Phone

(210) 396-2588

NPI assigned

Dec 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lio T Gallegos Other name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  Medicare reassignment Care Compare group NPD
• Old Mission Wound Care Texas PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1386484277

  TX

  Medicare reassignment NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246
  NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1639718661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21844 WALDON MNR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782614428",
            "telephone_number": "210-396-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21844 WALDON MNR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782614428",
            "telephone_number": "210-396-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "ROSALIO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-20",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIO",
            "last_name": "GALLEGOS",
            "middle_name": "T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacob Ruben Gallegos
• Jennifer Jade Gallegos, M.D.
• Jessica Rae Gallegos, CPNP-AC
• Jesus S Gallegos, MD
• Michael Christopher Gallegos, MD
• Anna Elizabeth Galligan, MDS, RDN, LD
• Kenneth D Gallinger, O.D.
• Andrew Christopher Gallo, D.O.
• Daizha Gallo, PA
• Lisa Gallo

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.

Verify at the official NPI Registry.