Individual provider Active NPI

Jean-Pierre Galliani, MD

  • Dermatology Physician
  • St Petersburg, FL
National Provider Identifier
1689809626
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME115597 Issued in FL
Practice address
1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone
(727) 202-9442
Fax
(727) 265-2507
NPI assigned
May 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME115597 FL Primary

Addresses

Primary practice location

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202

Mailing address

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone (727) 202-9442

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
I20130610000498 FL Practitioner - Dermatology 7719126440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Petersburg Dermatology LLCGroup PAC ID 2961782701, 7 clinicians

Practice addresses (Care Compare)

1530 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4202
Phone (727) 202-9442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40
Cost
83.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of skin lesions1320
Removal or shaving of skin growth1-10
Skin biopsy597

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115597FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Petersburg Dermatology, LLC Dermatology CurrentSince Sep 1, 2018 Accepting new patients

Locations

1530 Dr Ml King Jr St N
St Petersburg, FL 33704
Phone (721) 720-2944

Interoperability endpoints

  • Direct secure messaging: galliani.jeanpierre.006.0090018@daos.meditab.direct-ci.com

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1689809626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044202",
            "telephone_number": "727-202-9442",
            "fax_number": "727-265-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044202",
            "telephone_number": "727-202-9442",
            "fax_number": "727-265-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANI",
        "first_name": "JEAN-PIERRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME115597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.