Active NPI
Joseph P Gallagher, MD
- Gastroenterology Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD24310
- Practice address
- 360 Broadway Ste 100
Bangor, ME 04401-3985 - Phone
- (207) 907-3550
- Fax
- (207) 907-3562
- NPI assigned
- Feb 25, 2008
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2014-02357 | NC | |
| Gastroenterology Physician | 207RG0100X | MD24310 | ME | Primary |
Addresses
Primary practice location
360 Broadway Ste 100
Bangor, ME 04401-3985
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8560
Other practice location 1
1000 Brabham Avenue
Attn: Credentialing
Wilmington, NC 28546-5003
Phone (910) 341-3300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgallagher1324577@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Temple University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
360 Broadway
Suite 100
Bangor, ME 04401-3979
Phone (207) 907-3550
Hospital & facility affiliations
- St Joseph Hospital
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 49 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 112 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24310 | ME | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Hospital | Current | Accepting new patients | |
| Wilmington Health PLLC | Past | Accepting new patients |
Locations
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
Ste 100
Bangor, ME 04401
Phone (207) 907-3550
Interoperability endpoints
- jgallagher1151283@direct.bsmhealth.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1881863785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
"address_2": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8560",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BROADWAY STE 100",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013985",
"telephone_number": "207-907-3550",
"fax_number": "207-907-3562"
}
],
"practiceLocations": [
{
"address_1": "1000 Brabham Avenue",
"address_2": "Attn: Credentialing",
"address_purpose": "LOCATION",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "285465003",
"country_code": "US",
"telephone_number": "910-341-3300",
"fax_number": "910-251-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "JOSEPH",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-25",
"last_updated": "2020-12-30",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "2014-02357",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ME",
"license": "MD24310",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgallagher1324577@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway Ste 100",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013985",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.