Individual provider Active NPI

Pedro Armando Jovel Gallegos, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1871085290
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006280 Issued in VA
Practice address
417 N 11TH St
Richmond, VA 23298
Phone
(804) 828-2775
Fax
(804) 828-0191
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 0110006280 VA Primary
Physician Assistant 363A00000X 035182 NY

Addresses

Primary practice location

417 N 11TH St
Richmond, VA 23298

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other practice location 1

57 N 11th St
richmond, VA 23298
Phone (804) 828-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190115001400 VA Practitioner - Physician Assistant 1355687179 Reassigns benefits to 2 organizations
I20251009003928 DC Practitioner - Physician Assistant 1355687179 Reassigns benefits to 1 organization
I20260221000926 NY Practitioner - Physician Assistant 1355687179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians

Practice addresses (Care Compare)

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3400

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622

Hospital & facility affiliations

  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
035182NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis Gale Physicians LLC Single Specialty CurrentSince Nov 10, 2025 Accepting new patients
United Health Services Hospitals, Inc. Single Specialty CurrentSince Jan 19, 2026 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 19, 2026 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
United Medical Associates PC Single Specialty CurrentSince Jan 19, 2026 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Sep 15, 2025 Accepting new patients

Locations

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8081 Innovation Park Dr
#800
Fairfax, VA 22031
Phone (571) 472-8800

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • Direct secure messaging: pjovelgallegos1603531@soc.inova.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1871085290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N 11TH ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-828-2775",
            "fax_number": "804-828-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 N 11th St",
            "address_purpose": "LOCATION",
            "city": "richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOVEL GALLEGOS",
        "first_name": "PEDRO",
        "middle_name": "ARMANDO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006280",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.