Active NPI
Raymond Joseph Gagliardi, MD
- Surgery Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-46060
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 356-2902
- Fax
- (319) 356-8378
- NPI assigned
- May 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 38968 | KY | |
| Surgery Physician | 208600000X | MD-46060 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64082191 | Medicaid | KY | |
| 2176210 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI, IA, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-46060 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Hurley Medical Center | Surgery | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Surgery | Current | Accepting new patients |
| Urgent Specialty Associates PLLC | Surgery | Current | Accepting new patients |
| The Metrohealth System | Surgery | Current | Accepting new patients |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Surgery | Past | Accepting new patients |
| Licking Memorial Professional Corporation | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- rgagliardi186244@uihcdirect.org
- rgagliardi3926043@direct.trinity-health.org
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Cardiovascular Disease Physician
- Mason City, IA
- NPI 1801147269
-
- Family Medicine Physician
- Forest City, IA
- NPI 1811003015
-
- Sports Medicine (Family Medicine) Physician
- Mason City, IA
- NPI 1982300349
-
- Surgery Physician
- Flint, MI
- NPI 1659323384
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Surgery
-
- Surgery Physician
- Newark, OH
- NPI 1366461386
-
- Pediatrics Physician
- Utica, OH
- NPI 1497771521
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1790734820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2902",
"fax_number": "319-356-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-356-2902",
"fax_number": "319-356-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDI",
"first_name": "RAYMOND",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "38968",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "MD-46060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64082191",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2176210",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.