Active NPI
Patrick John Gallagher, M.D.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1669735650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 125-061987
- Practice address
- 1900 W Polk St
Chicago, IL 60612-3723 - Phone
- (312) 864-0060
- NPI assigned
- Jun 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-061987 | IL | Primary |
Addresses
Primary practice location
1900 W Polk St
Chicago, IL 60612-3723
Mailing address
900 S Clark St
Apt 413
Chicago, IL 60605-3679
Phone (773) 318-0456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119000403 | IL | Practitioner - Internal Medicine | 9739499203 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Northwestern University Feinberg Medical School, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
211 E Chicago Ave
Suite 1700
Chicago, IL 60611-2672
Phone (312) 995-8961
Hospital & facility affiliations
- Northwestern Memorial Hospital
- Northwestern Lake Forest Hospital
- Northwestern Medicine Central Dupage Hospital
- Shirley Ryan Abilitylab
- Terraces at the Clare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-061987 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick J Gallagher MD SC | Internal Medicine | Current | Accepting new patients |
Locations
211 E Chicago Ave
Ste 1700
Chicago, IL 60611
Phone (312) 255-9999
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1639554793
IL, Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
Hospital
-
- Rehabilitation Hospital
- Chicago, IL
- NPI 1205879095
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340496000000",
"number": "1669735650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S CLARK ST",
"address_2": "APT 413",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053679",
"telephone_number": "773-318-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W POLK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123723",
"telephone_number": "312-864-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "PATRICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-24",
"last_updated": "2012-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-061987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.