Individual provider Active NPI

Peter L. Gallarello, DPM

  • Podiatrist
  • North Las Vegas, NV
National Provider Identifier
1871524025
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9901 Issued in NV
Practice address
1703 Civic Center Dr
Suite 3
North Las Vegas, NV 89030-7212
Phone
(702) 791-3668
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 9901 NV Primary

Addresses

Primary practice location

1703 Civic Center Dr
Suite 3
North Las Vegas, NV 89030-7212

Mailing address

PO Box 26055
Las Vegas, NV 89126-0055
Phone (702) 791-3668

Other identifiers 1

IdentifierTypeStateIssuer
002102009MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922001116 NV Practitioner - Podiatry 8325071939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1703 Civic Ctr Dr
Suite 3
North Las Vegas, NV 89030-7273
Phone (702) 791-3668

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peter L Gallarello DPM PLLC Podiatrist CurrentSince Jun 6, 2012 Accepting new patients
Ada I Vera DPM LTD PastSince Jun 12, 2022 Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Peter L Gallarello DPM Podiatrist PastSince Apr 1, 2005 Accepting new patients

Locations

1703 Civic Center Dr
Ste 3
North Las Vegas, NV 89030
Phone (702) 388-1006

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1871524025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26055",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891260055",
            "telephone_number": "702-791-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 CIVIC CENTER DR",
            "address_2": "SUITE 3",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307212",
            "telephone_number": "702-791-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARELLO",
        "first_name": "PETER",
        "middle_name": "L.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102009",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.