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DR. MARTIN PHILIP GAGLIARDI M.D.,F.A.C.S.
NPI 1649262650
Specialist in Hauppauge, NY

Active since August 16, 2005PECOS Enrolled
1393 VETERANS MEMORIAL HWY STE 110N, HAUPPAUGE, NY 11788(631) 851-7800 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2023, Dec 21, 2020, Dec 3, 2020 and 4 more (7 updates tracked since 2016).

About Dr. Martin Philip Gagliardi M.d.,f.a.c.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARTIN PHILIP GAGLIARDI M.D.,F.A.C.S. (NPI 1649262650) is an individual specialist in Hauppauge, New York, licensed in Florida (621177778) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649262650
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARTIN PHILIP GAGLIARDICredential: M.D.,F.A.C.S.
Location Address1393 VETERANS MEMORIAL HWY STE 110NHauppauge, NY 11788-3000
Mailing AddressMarty P Gagliardi, Md, 827 Eden DriveSanta Rosa Beach, FL 32459-5960 · (850) 257-3708
Phone(631) 851-7800
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 10, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1649262650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 621177778
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301077321 (MI), MD00043362 (WA)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 248554 (NY)
1393 VETERANS MEMORIAL HWY STE 110N, Hauppauge, NY 11788
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Martin Philip Gagliardi M.d.,f.a.c.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Martin Gagliardi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magnolia Physician Services, Inc
931 mi
Internal Medicine
611 ALCORN DR
Corinth, MS 38834
  • Reassigned Medicare billing, Mississippi enrollment
  • 50 clinicians in this Medicare group
NPI 1073827549 (662) 293-7618
Magnolia Professional Billing
931 mi
Internal Medicine
611 ALCORN DR
Corinth, MS 38834
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group
NPI 1528592961 (662) 293-1000
The Fort Defiance Indian Hospital Board, Incorporation
1,968 mi
General Acute Care Hospital
CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504
  • Reassigned Medicare billing, Texas enrollment
  • 518 clinicians in this Medicare group
NPI 1477876639 (928) 729-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Gagliardi's NPI number?

The NPI number for Martin Gagliardi is 1649262650. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Martin Gagliardi located?

Martin Gagliardi practices at 1393 Veterans Memorial Hwy Ste 110N, Hauppauge, NY 11788. The listed phone number is (631) 851-7800.

What is Martin Gagliardi's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Martin Gagliardi enrolled in Medicare?

Yes. Martin Gagliardi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martin Gagliardi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Gagliardi reassigns Medicare benefits to 3 organizations: Magnolia Physician Services, Inc (Corinth, MS), Magnolia Professional Billing (Corinth, MS) and The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Gagliardi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martin Gagliardi was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.