Individual provider Active NPI

Gloria E Galdamez, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1659565356
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101246376 Issued in VA
Practice address
12101 Carol LN
Fredericksburg, VA 22407-6101
Phone
(540) 785-7810
Fax
(540) 786-3099
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17293 PR
Family Medicine Physician 207Q00000X ME 103483 FL
Family Medicine Physician 207Q00000X 0101246376 VA Primary

Addresses

Primary practice location

12101 Carol LN
Fredericksburg, VA 22407-6101

Mailing address

P O Box 1460
Fredericksburg, VA 22402-1460
Phone (540) 785-2100

Other identifiers 2

IdentifierTypeStateIssuer
1659565356MedicaidVA
540896390OtherVACIGNA

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
I20091027000851 VA Practitioner - Family Practice 7416094297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.58 of 100Reported as group
Quality
95.53
Promoting interoperability
100
Improvement activities
40
Cost
73.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 103483FLMDFamily Medicine Physician
17293PRMDFamily Medicine Physician
0101246376VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spotsylvania Multi-Specialty Group, LLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1451 Hospital Dr
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-2040

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

4604 Spotsylvania Pkwy
Ste 200
Fredericksburg, VA 22408
Phone (540) 358-5000

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.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1659565356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1460",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224021460",
            "telephone_number": "540-785-2100",
            "fax_number": "540-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 CAROL LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076101",
            "telephone_number": "540-785-7810",
            "fax_number": "540-786-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDAMEZ",
        "first_name": "GLORIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "17293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 103483",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659565356",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "540896390",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.