Individual provider Active NPI

Domingo E Galliano

  • Colon & Rectal Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1689784076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME54294 Issued in FL
Practice address
2525 Harbor Blvd Ste 208
Port Charlotte, FL 33952-5342
Phone
(941) 625-1033
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME54294 FL Primary

Addresses

Primary practice location

2525 Harbor Blvd Ste 208
Port Charlotte, FL 33952-5342

Mailing address

2525 Harbor Blvd Ste 208
Port Charlotte, FL 33952-5342
Phone (941) 625-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040421001276 FL Practitioner - Colorectal Surgery (Proctology)Practitioner - General PracticePractitioner - Critical Care (Intensivists) 8820084379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: Critical Care (Intensivists), General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Domingo E Galliano Jr PAGroup PAC ID 9638245640, 2 clinicians

Practice addresses (Care Compare)

18308 Murdock Cir
Unit 108
Port Charlotte, FL 33948-1025

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as individual
Quality
59.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy238
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux76
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Domingo E Galliano Jr PA Colon & Rectal Surgery CurrentSince Oct 1, 1999 Accepting new patients

Locations

18308 Murdock Cir
Unit 108
Pt Charlotte, FL 33948
Phone (941) 625-1033

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: domingo.galliano.1@17708.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17708/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689784076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 208",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARBOR BLVD STE 208",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525342",
            "telephone_number": "941-625-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANO",
        "first_name": "DOMINGO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME54294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.