Active NPI
Daniel Lawrence Gallo, M.D.
- Internal Medicine Physician
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40657
- Practice address
- 350 Hospital Way Ste 100
Somerset, KY 42503-1872 - Phone
- (606) 451-2600
- Fax
- (606) 451-2651
- NPI assigned
- Nov 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 40657 | KY | |
| Internal Medicine Physician | 207R00000X | 40657 | KY | Primary |
Addresses
Primary practice location
350 Hospital Way Ste 100
Somerset, KY 42503-1872
Mailing address
350 Hospital Way
Ste 100
Somerset, KY 42503-1872
Phone (850) 883-9906
Other practice location 1
307 Boatner Rd
Ste 114
Eglin AFB, FL 32542-1391
Phone (850) 883-9906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Pennsylvania State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-6599
350 Hospital Way
Suite 100
Somerset, KY 42503-1872
Phone (606) 451-2600
350 Hospital Way
Suite 100
Somerset, KY 42503-1873
Phone (606) 451-2600
353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40657 | KY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Hospital, LLC | Internal Medicine | Current | Accepting new patients |
| Lake Cumberland Regional Hospital LLC | Current | Accepting new patients | |
| Lake Cumberland Regional Hospital LLC | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600
353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- daniel.gallo.1@21269.direct.athenahealth.com
- https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1861078685
-
dba Lake Cumberland Medical Associates
- Rural Health Clinic/Center
- Somerset, KY
- NPI 1023155462
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1447330451
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lake Cumberland Regional Hospital
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1861562746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HOSPITAL WAY",
"address_2": "STE 100",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031872",
"telephone_number": "850-883-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL WAY STE 100",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425031872",
"telephone_number": "606-451-2600",
"fax_number": "606-451-2651"
}
],
"practiceLocations": [
{
"address_1": "307 Boatner Rd",
"address_2": "Ste 114",
"address_purpose": "LOCATION",
"city": "Eglin AFB",
"state": "FL",
"postal_code": "325421391",
"country_code": "US",
"telephone_number": "850-883-9906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLO",
"first_name": "DANIEL",
"middle_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "40657",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "40657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.