Active NPI
Domingo E Galliano
- Colon & Rectal Surgery Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME54294
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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 100
- Quality
- 59.12
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 238 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 76 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domingo E Galliano Jr PA | Colon & Rectal Surgery | Current | 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
- domingo.galliano.1@17708.direct.athenahealth.com
- 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.
-
- Colon & Rectal Surgery Physician
- Port Charlotte, FL
- NPI 1902060601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
dba Amedisys Home Health
- Home Health Agency
- Port Charlotte, FL
- NPI 1043392038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.