Active NPI
Gabriel P. Galan, DPM
- Foot & Ankle Surgery Podiatrist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4017
- Practice address
- 45 Groover Loop Ste 201
St Augustine, FL 32086-6586 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- NPI assigned
- Dec 7, 2016
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4017 | FL | Primary |
Addresses
Primary practice location
45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Mailing address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203
Phone (904) 634-0640
Other practice location 1
2627 Riverside Ave Fl 3
Jacksonville, FL 32204
Phone (904) 634-0640
Other practice location 2
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 32218-7274
Phone (904) 634-0640
Other practice location 3
4565 US Highway 17 Ste 200
Fleming Island, FL 32003-4823
Phone (904) 634-0640
Other practice location 4
232 Ponte Vedra Park Dr Ste 300
Ponte Vedra Beach, FL 32082-6600
Phone (904) 634-0640
Other practice location 5
216 Southpark Cir E Ste 216
Saint Augustine, FL 32086-5135
Phone (904) 634-0640
Other practice location 6
2 Shircliff Way Ste 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640
Other practice location 7
3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
Phone (904) 634-0640
Other practice location 8
1690 US Highway 1 S Ste F
St Augustine, FL 32084-6024
Phone (904) 634-0640
Other practice location 9
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 32223-8800
Phone (904) 634-0640
Other practice location 10
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 32256-5004
Phone (904) 634-0640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108031300 | Medicaid | FL |
Other names 1
- Dr. Gabriel P. Galan
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181126000243 | FL | Practitioner - Podiatry | 6901150309 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Orthopedic Specialists LLC
Practice addresses (Care Compare)
2627 Riverside Ave
FL 3
Jacksonville, FL 32204-4717
Phone (904) 634-0640
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Baptist Health Medical Center - Jacksonville
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 217 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 201 |
| Removal or shaving of skin growth | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4017 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Surgcenter of Greater Jacksonville, LLC | Past | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
4565 US Highway 17
Ste 200
Fleming Island, FL 32003
Phone (904) 630-0640
4268 Oldfield Crossing Dr
Ste 201
Jacksonville, FL 32223
Phone (904) 630-0640
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
15255 Max Leggett Pkwy
Ste 5300
Jacksonville, FL 32218
Phone (904) 203-1386
2627 Riverside Ave
Fl 3
Jacksonville, FL 32204
Phone 9046340640 ext. 1014
10475 Centurion Pkwy N
Ste 301
Jacksonville, FL 32256
Phone (904) 308-3751
6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216
2 Shircliff Way
Ste 605
Jacksonville, FL 32204
Phone (904) 328-5979
6500 Bowden Rd
Ste 103
Jacksonville, FL 32216
232 Ponte Vedra Park Dr
Ste 300
Ponte Vedra Beach, FL 32082
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082
Phone (904) 285-7546
216 Southpark Cir E
Ste 216
St Augustine, FL 32086
Phone (904) 634-0203
45 Groover Loop
Unit 201
St Augustine, FL 32086
Phone (904) 634-0604
1690 US Highway 1 S
Ste F
St Augustine Beach, FL 32084
Phone (904) 634-0460
3055 County Road 210 W
Ste 110
St Johns, FL 32259
Phone (904) 825-0540
300 Saint Elizabeth Way
Ste 210
St Johns, FL 32259
Phone (904) 691-9200
Interoperability endpoints
- gabriel.galan.1@22724.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
FL
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1003542465
-
- Durable Medical Equipment & Medical Supplies
- Orange Park, FL
- NPI 1023865821
-
- Specialist
- Jacksonville, FL
- NPI 1114383023
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1295156941
-
- Durable Medical Equipment & Medical Supplies
- St Augustine, FL
- NPI 1467188821
-
- Orthopaedic Surgery Physician
- Ponte Vedra Beach, FL
- NPI 1548681109
-
- Durable Medical Equipment & Medical Supplies
- St Augustine, FL
- NPI 1730815184
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1730887183
-
- Orthopaedic Surgery Physician
- Fleming Island, FL
- NPI 1881179638
-
- Specialist
- Jacksonville, FL
- NPI 1922615830
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1720522964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SOUTHPOINT PKWY STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168203",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GROOVER LOOP STE 201",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866586",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
}
],
"practiceLocations": [
{
"address_1": "2627 Riverside Ave Fl 3",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32204",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15255 Max Legget Pkwy Ste 5300",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322187274",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4565 US Highway 17 Ste 200",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320034823",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "232 Ponte Vedra Park Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Ponte Vedra Beach",
"state": "FL",
"postal_code": "320826600",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 Southpark Cir E Ste 216",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320865135",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Shircliff Way Ste 605",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044762",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3055 County Road 210 W Ste 110",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322597001",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1690 US Highway 1 S Ste F",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320846024",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4268 Oldfield Crossing Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322238800",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10475 Centurion Pkwy N Ste 220",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322565004",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALAN",
"first_name": "GABRIEL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-07",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108031300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GABRIEL",
"last_name": "GALAN",
"middle_name": "P.",
"prefix": "DR.",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.