DR. THOMAS JOHN GALLETTA M.D.
NPI 1639601297
Pediatrics - Pediatric Hematology-Oncology in Cincinnati, OH

NPI Status: Active since March 31, 2017

Contact Information

3333 BURNET AVE, ML 7015
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4266
Fax: (513) 636-3549

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Hematology-Oncology
  • Accepts Insurance
  • PECOS Enrolled

About THOMAS GALLETTA

This page provides the complete NPI Profile along with additional information for Thomas Galletta, a pediatrician established in Cincinnati, Ohio with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology . The healthcare provider is registered in the NPI registry with number 1639601297 assigned on March 2017. The practitioner's primary taxonomy code is 2080P0207X with license number 35.139017 (OH). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1639601297
Provider Name
DR. THOMAS JOHN GALLETTA M.D.
Gender
Male
Entity Type
Individual
Location Address
3333 BURNET AVE, ML 7015 CINCINNATI, OH 45229
Location Phone
(513) 636-4266
Location Fax
(513) 636-3549
Mailing Address
3333 BURNET AVE, ML 7015 CINCINNATI, OH 45229
Mailing Phone
(513) 636-4266
Mailing Fax
(513) 636-3549
Is Sole Proprietor?
No
Enumeration Date
03-31-2017
Last Update Date
07-19-2023
Code Navigator

A pediatrician like Thomas Galletta is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Hematology-Oncology

Taxonomy Code
2080P0207X
Type
Allopathic & Osteopathic Physicians
License No.
35.139017
License State
OH
Taxonomy Description
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Thomas Galletta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639601297, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 2 + 0 + 2 + 2 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1639601297.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
3333 BURNET AVE, ML 7015
CINCINNATI, OH 45229
Nurse Practitioner
3333 BURNET AVE, ML 7015
CINCINNATI, OH 45229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639601297, enumerated as an "individual" on March 31, 2017.

The provider is located at 3333 BURNET AVE, ML 7015 CINCINNATI, OH 45229 and the phone number is (513) 636-4266.

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

The provider might be accepting Accepts: MedMutual. Please consult your insurance carrier or call the provider to verify.