DR. JACOB RYAN GALLAGHER D.O.
NPI 1902394752
Neuromusculoskeletal Medicine & OMM in Stamford, CT

Q: What is Jacob Gallagher's NPI number?

The NPI number for Jacob Gallagher is 1902394752. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Jacob Gallagher's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: Is Jacob Gallagher enrolled in Medicare?

No. Jacob Gallagher has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jacob Gallagher was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since April 26, 2018Opted out of Medicare · through Jun 12, 2028

80 MILL RIVER STREET, SUITE 2400-C, STAMFORD, CT 06902(203) 585-9580 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2025, Apr 26, 2018 (2 updates tracked since 2018).

On this page

About Dr. Jacob Ryan Gallagher D.o. NPPES

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

DR. JACOB RYAN GALLAGHER D.O. (NPI 1902394752) is an individual neuromusculoskeletal medicine & omm provider in Stamford, Connecticut, licensed in Connecticut (69540) and active in the NPI registry since April 2018. He has opted out of Medicare through June 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902394752

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameDR. JACOB RYAN GALLAGHERCredential: D.O.

Location Address80 MILL RIVER STREET, SUITE 2400-CStamford, CT 06902

Mailing Address80 Mill River Street, Suite 2400-cStamford, CT 06902 · (203) 585-9580

Phone(203) 585-9580

Sole ProprietorYes

Enumeration DateApril 26, 2018

Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration

✔ NPI 1902394752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CT · 69540

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

80 MILL RIVER STREET, Stamford, CT 06902

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jacob Ryan Gallagher D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 12, 2024 through June 12, 2028.

Opt-Out Effective DateJune 12, 2024

Opt-Out In Effect ThroughJune 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RADHIKA JASTHI MD

Internal Medicine

80 MILL RIVER STREET, SUITE 2200
STAMFORD, CT 06902

Western Connecticut Planning Region (203) 487-6177

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 Jacob Gallagher's NPI number?

The NPI number for Jacob Gallagher is 1902394752. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Jacob Gallagher located?

Jacob Gallagher practices at 80 Mill River Street Suite 2400-C, Stamford, CT 06902. The listed phone number is (203) 585-9580.

What is Jacob Gallagher's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Jacob Gallagher enrolled in Medicare?

No. Jacob Gallagher has opted out of Medicare through June 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacob Gallagher was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.