Individual provider Active NPI

Michael Lee Galloway, DO

  • Obstetrics & Gynecology Physician
  • Odessa, TX
National Provider Identifier
1992764013
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S2038 Issued in TX
Practice address
701 W 5TH St
Odessa, TX 79763-4206
Phone
(432) 703-5510
Fax
(432) 335-1009
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200500040 NC
Obstetrics & Gynecology Physician 207V00000X 34006095 OH
Obstetrics & Gynecology Physician 207V00000X S2038 TX Primary

Addresses

Primary practice location

701 W 5TH St
Odessa, TX 79763-4206

Mailing address

800 W 4TH St Ste 2C60
Odessa, TX 79763-4362
Phone (432) 703-5050

Other practice location 1

301 N N St
Midland, TX 79701-6404
Phone (432) 620-5800

Other identifiers 1

IdentifierTypeStateIssuer
2071994MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 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
I20070822001007 OH Practitioner - Obstetrics/Gynecology 8527150523
I20190813002786 TX Practitioner - Obstetrics/Gynecology 8527150523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center OdessaGroup PAC ID 8426044256, 58 clinicians

Practice addresses (Care Compare)

701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-2222

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6095OHMDClinical Psychologist
200500040NCMDObstetrics & Gynecology Physician
34006095OHMDObstetrics & Gynecology Physician
S2038TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Odessa Obstetrics & Gynecology Current Accepting new patients
Ector County Hospital District Past Accepting new patients
Midland County Hospital District Past Accepting new patients
Wright State Physicians Inc Past Accepting new patients

Locations

301 N N St
Midland, TX 79701
Phone (432) 620-5800

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 3142
Odessa, TX 79763
Phone (432) 703-5299

800 W 4th St
Ste 2C60
Odessa, TX 79763
Phone (432) 703-5050

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

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": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1992764013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 4TH ST STE 2C60",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634362",
            "telephone_number": "432-703-5050",
            "fax_number": "432-335-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206",
            "telephone_number": "432-703-5510",
            "fax_number": "432-335-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N N St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797016404",
            "country_code": "US",
            "telephone_number": "432-620-5800",
            "fax_number": "432-620-5844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200500040",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34006095",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S2038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.