Individual provider Active NPI

Gregg Stephen Gagliardi, M.D.

  • Gastroenterology Physician
  • Jenkintown, PA
National Provider Identifier
1992919898
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD431271 Issued in PA
Practice address
1095 Rydal Rd
Suite 100
Jenkintown, PA 19046-1711
Phone
(267) 620-1100
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD431271 PA Primary

Addresses

Primary practice location

1095 Rydal Rd
Suite 100
Jenkintown, PA 19046-1711

Mailing address

201 S 25TH St
Apt 523
Philadelphia, PA 19103-6002
Phone (215) 735-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000487 PA Practitioner - Gastroenterology 7618077785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Associates in Healthcare, IncGroup PAC ID 6406755651, 387 clinicians
Amh Medical Staff Service FundGroup PAC ID 9830003813, 41 clinicians

Practice addresses (Care Compare)

1095 Rydal Rd
Suite 100
Rydal, PA 19046-1711
Phone (267) 620-1100

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

1600 Horizon Dr
Suite 105
Chalfont, PA 18914-4100
Phone (267) 620-1136

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy145
Upper gastrointestinal (GI) endoscopy for acid reflux166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc CurrentSince Nov 1, 2017 Accepting new patients
Amh Medical Staff Service Fund CurrentSince Aug 1, 2008 Accepting new patients
Methodist Associates in Healthcare, Inc Gastroenterology CurrentSince Nov 1, 2017 Accepting new patients
Jefferson University Physicians Gastroenterology Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1600 Horizon Dr
Ste 105
Chalfont, PA 18914
Phone (215) 368-6009

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

1095 Rydal Rd
Ste 100
Rydal, PA 19046
Phone (267) 620-1100

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

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.

Hospital & facility affiliations 3

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1992919898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 25TH ST",
            "address_2": "APT 523",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036002",
            "telephone_number": "215-735-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 RYDAL RD",
            "address_2": "SUITE 100",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461711",
            "telephone_number": "267-620-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "GREGG",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD431271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.