James Paul Gallagher, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

56204 Issued in MA

Practice address

61 Cooper St
Agawam, MA 01001-2149

Phone

(413) 786-8000

Fax

(413) 786-2124

NPI assigned

Jul 21, 2006

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Complete Care at Fox Hill LLC

  • Skilled Nursing Facility
  • Vernon, CT
  • NPI 1922725043

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Complete Care at Kimberly Hall North LLC

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1821715947

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Complete Care at Kimberly Hall South LLC

  • Skilled Nursing Facility
  • Windsor, CT
  • NPI 1801513924

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  CT

  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  CT

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Windsor, CT
  • NPI 1164415196
  Medicare reassignment NPD
• Hartford Physician Services PC

  dba Hartford Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1801817325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREEN WOODS LN",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851552",
            "telephone_number": "860-306-1377",
            "fax_number": "860-675-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 COOPER ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012149",
            "telephone_number": "413-786-8000",
            "fax_number": "413-786-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031323",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801817325",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Friends 4 Life LLC
• Full of Life Recovery Center of Mass LLC
• Cara Elizabeth Fuller, M.S. CCC-SLP
• Gaandbj LLC (AmbianceHR and Laser Center)
• Gaandbj LLC
• Alicia Gapen, LEP
• Star Gastringer, LPN
• Genesis Eldercare Physician Services LLC
• Genesis Eldercare Rehabilitation Services LLC (Powerback Rehabilitation)
• Genesis Health Ventures of Massachusetts LLC (Heritage Woods)

• Internal Medicine Physician in Agawam, MA
• Providers in Agawam, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.