Active NPI
Andrea Galusha, M.D.
- Obstetrics & Gynecology Physician
- Flower Mound, TX
National Provider Identifier
1700872736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K8902
- Practice address
- 4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1565 - Phone
- (972) 420-1470
- Fax
- (972) 420-1465
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K8902 | TX | Primary |
Addresses
Primary practice location
4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1565
Mailing address
4001 Long Prairie Rd
Suite 150
Flower Mound, TX 75028-1565
Phone (972) 420-1470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153383801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8902 | TX | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1700872736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 LONG PRAIRIE RD",
"address_2": "SUITE 150",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281565",
"telephone_number": "972-420-1470",
"fax_number": "972-420-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 LONG PRAIRIE RD",
"address_2": "SUITE 150",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281565",
"telephone_number": "972-420-1470",
"fax_number": "972-420-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALUSHA",
"first_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K8902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153383801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.