Active NPI
Robert C Gallagher, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 026739
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026739 | Other | CT | CONNECTICARE |
| 061028513 | Other | CT | COMMUNITY HEALTH NTWK |
| P1150301 | Other | CT | OXFORD HEALTHPLAN |
| 1604743 | Other | CT | CIGNA HEALTHPLAN |
| 010026739CT04 | Other | CT | ANTHEM BLUECROSS/BS |
| 4138731 | Other | CT | AETNA HEALTHPLAN |
| 010026739CT04 | Other | CT | BLUECARE FAMILY PLAN |
| 2806564 | Other | CT | AETNA HMO |
| 330004788 | Other | CT | RAILROAD MEDICARE |
| 001267394 | Medicaid | CT | |
| OV7703 | Other | CT | HEALTHNET OF NE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Medical University of South Carolina College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 026739 | CT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current | 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
- rgallagher@direct.wtbyhosp.org
- 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.
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Thoracic Surgery (Cardiothoracic Vascular Surgery)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.