Individual provider Active NPI

Robert C Gallagher, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hartford, CT
National Provider Identifier
1801894829
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
026739 Issued in CT
Practice address
114 Woodland St
Hartford, CT 06105-1208
Phone
(860) 714-9333
Fax
(860) 714-8612
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 026739 CT Primary

Addresses

Primary practice location

114 Woodland St
Hartford, CT 06105-1208

Mailing address

PO Box 33440
Hartford, CT 06150-3440
Phone (860) 522-7181

Other identifiers 11

IdentifierTypeStateIssuer
026739OtherCTCONNECTICARE
061028513OtherCTCOMMUNITY HEALTH NTWK
P1150301OtherCTOXFORD HEALTHPLAN
1604743OtherCTCIGNA HEALTHPLAN
010026739CT04OtherCTANTHEM BLUECROSS/BS
4138731OtherCTAETNA HEALTHPLAN
010026739CT04OtherCTBLUECARE FAMILY PLAN
2806564OtherCTAETNA HMO
330004788OtherCTRAILROAD MEDICARE
001267394MedicaidCT
OV7703OtherCTHEALTHNET OF NE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgallagher40221@direct.stfranciscare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20100923000927 CT Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 7113043498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Medical University of South Carolina College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WCG CT PLLCGroup PAC ID 8628547577, 4 clinicians

Practice addresses (Care Compare)

72 Salmon Brook Dr
Glastonbury, CT 06033-2131
Phone (973) 427-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026739CTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jan 1, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 3, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 3, 2020 Accepting new patients
Hartford Clinical Associates, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

72 Salmon Brook Dr
Glastonbury, CT 06033
Phone (860) 633-5244

85 Seymour St
Ste 301
Hartford, CT 06106
Phone (860) 696-2030

85 Seymour St
Ste 1003
Hartford, CT 06106
Phone (860) 246-4260

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1000 Asylum Ave
Ste 3201A
West Hartford, CT 06105
Phone (860) 714-1094

Interoperability endpoints

  • Direct secure messaging: rgallagher@direct.wtbyhosp.org
  • Direct secure messaging: rgallagher2389305@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1801894829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33440",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061503440",
            "telephone_number": "860-522-7181",
            "fax_number": "860-278-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051208",
            "telephone_number": "860-714-9333",
            "fax_number": "860-714-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "026739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "026739",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH NTWK",
            "identifier": "061028513",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLAN",
            "identifier": "P1150301",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHPLAN",
            "identifier": "1604743",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS/BS",
            "identifier": "010026739CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHPLAN",
            "identifier": "4138731",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "010026739CT04",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2806564",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "330004788",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001267394",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF NE",
            "identifier": "OV7703",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgallagher40221@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Asylum Ave Ste 3201A",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061051714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.