Active NPI
Michael R Gallina, DPM
- Foot & Ankle Surgery Podiatrist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3070
- Practice address
- 435 Commercial CT
Venice, FL 34292-1658 - Phone
- (941) 559-0262
- Fax
- (941) 375-8569
- NPI assigned
- Jan 12, 2006
- Last updated
- Mar 27, 2024
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3070 | FL | Primary |
Addresses
Primary practice location
435 Commercial CT
Venice, FL 34292-1658
Mailing address
425 Nursing Home Dr
Arcadia, FL 34266-3839
Phone (863) 993-2966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO3070 | Other | FL | FLORIDA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
836 Sunset Lake Blvd
Suite 102
Venice, FL 34292-7555
Phone (941) 497-1771
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3070 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedic Center of Charlotte County, PA | Current | Accepting new patients | |
| Advanced Orthopedic Center of Charlotte County, PA | Current | Accepting new patients | |
| Arcadia Medical Associates PA | Current | Accepting new patients | |
| Arcadia Medical Associates PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Leading Edge Physical Therapy & Sports, Inc. | Past | Accepting new patients | |
| Podiatry Associates of Venice and Englewood | Foot & Ankle Surgery | Past | Accepting new patients |
| Southern Ohio Foot and Ankle Associates Inc | Past | Accepting new patients |
Locations
425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991
1641 Tamiami Trl
Ste 1
Pt Charlotte, FL 33948
Phone (941) 629-6262
435 Commercial Ct
Venice, FL 34292
Phone (941) 484-2602
836 Sunset Lake Blvd
Ste 102
Venice, FL 34292
Phone (941) 497-1771
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Port Charlotte, FL
- NPI 1639177579
-
- Internal Medicine Physician
- Arcadia, FL
- NPI 1891980215
Foot & Ankle Surgery
-
- Orthopaedic Surgery Physician
- Venice, FL
- NPI 1619795317
-
- Physical Therapist
- Lakeland, FL
- NPI 1003903261
-
dba Gulf Coast Foot and Ankle
- Foot & Ankle Surgery Podiatrist
- Venice, FL
- NPI 1235323650
-
- Podiatrist
- Chillicothe, OH
- NPI 1447301262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1841279486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 NURSING HOME DR",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663839",
"telephone_number": "863-993-2966",
"fax_number": "863-494-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 COMMERCIAL CT",
"city": "VENICE",
"state": "FL",
"postal_code": "342921658",
"telephone_number": "941-559-0262",
"fax_number": "941-375-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLINA",
"first_name": "MICHAEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE NUMBER",
"identifier": "PO3070",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.