Individual provider Active NPI

Daniel Lawrence Gallo, M.D.

  • Internal Medicine Physician
  • Somerset, KY
National Provider Identifier
1861562746
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40657 Issued in KY
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110316001083 FL Practitioner - Internal Medicine 5698957363 Practice locations: Eglin AFB, FL
I20120611000198 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5698957363 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
40657KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital, LLC Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Lake Cumberland Regional Hospital LLC CurrentSince Jul 1, 2012 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

  • Direct secure messaging: daniel.gallo.1@21269.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.