Individual provider Active NPI

Kevin F Gallagher, D.P.M.

  • Podiatrist
  • MC Murray, PA
National Provider Identifier
1902865181
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002436L Issued in PA
Practice address
3515 Washington Rd
MC Murray, PA 15317-3063
Phone
(724) 941-4330
Fax
(412) 381-8690
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002436L PA Primary

Addresses

Primary practice location

3515 Washington Rd
MC Murray, PA 15317-3063

Mailing address

3515 Washington Rd
MC Murray, PA 15317-3063
Phone (724) 941-4330

Other identifiers 1

IdentifierTypeStateIssuer
0011427080004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000469 PA Practitioner - Podiatry 5597839639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002436LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gallagher Podiatry PLLC Podiatrist CurrentSince Jan 1, 2019 Accepting new patients

Locations

3515 Washington Rd
McMurray, PA 15317
Phone (724) 229-2422

Organizations & group practices 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1902865181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173063",
            "telephone_number": "724-941-4330",
            "fax_number": "412-381-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173063",
            "telephone_number": "724-941-4330",
            "fax_number": "412-381-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KEVIN",
        "middle_name": "F",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002436L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011427080004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

Verify at the official NPI Registry.