Marc Robert Gallini, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101027729 Issued in VA

Practice address

9500 Richmond Hwy
Lorton, VA 22079-2124

Phone

(703) 339-7788

Fax

(703) 339-5713

NPI assigned

Jun 30, 2006

Last updated

Apr 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1801824479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 HAMPTON WOODS DR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392729",
            "telephone_number": "703-643-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 RICHMOND HWY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792124",
            "telephone_number": "703-339-7788",
            "fax_number": "703-339-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINI",
        "first_name": "MARC",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101027729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5617928",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lita Felder, RPT
• Paradise Felton
• Raven Alyssa Finley
• Kenneth Ashton Freeman, M.D.
• Thomas Gallinaro
• Leidys Tatiana Galvis Restrepo
• Frances Hannah Garlick
• Gentle Dental Care
• Feven Ghebremedhin, MAT, BCBA
• Barymal Ghowrwal

• Family Medicine Physician in Lorton, VA
• Providers in Lorton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.