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KEITH GALLAGHER MD
NPI 1992190763
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since March 30, 2015PECOS Enrolled
1919 COTTMAN AVE, PHILADELPHIA, PA 19111(267) 350-4800(215) 754-0969 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keith Gallagher Md NPPES

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

KEITH GALLAGHER MD (NPI 1992190763) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in California (180967) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1992190763
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKEITH GALLAGHERCredential: MD
Location Address1919 COTTMAN AVEPhiladelphia, PA 19111-3816
Mailing Address1919 Cottman AvePhiladelphia, PA 19111-3816 · (267) 350-4800 · Fax (215) 754-0969
Phone(267) 350-4800
Fax(215) 754-0969
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1992190763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 180967
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1919 COTTMAN AVE, Philadelphia, PA 19111
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Other Identifiers 1

Medicaid1992190763MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Gallagher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072811389
PECOS Enrollment IDI20260325001566
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 Reassignment

Medicare enrollment records show Keith Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
8.7 mi
Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1669860854 (215) 829-2345

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. CHARLENE SMITH MHS
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (267) 563-2705
ADRIEANNA TRAPP
Licensed Practical Nurse
1919 COTTMAN AVE
PHILA, PA 19111
Philadelphia County (267) 274-7041
TOYE EDNA GREENE
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (267) 474-6094
JESSICA HAYES
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (267) 408-2803
MS. PAMELA DENISE BAZEMORE-MU'SLIM
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-4600
TASHA WALKER
Licensed Practical Nurse
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (267) 547-4496
MALAIKA PEABODY MA
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 728-4615
NADA MOSTAFA
Counselor (Mental Health)
1919 COTTMAN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 936-7286

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 Keith Gallagher's NPI number?

The NPI number for Keith Gallagher is 1992190763. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Keith Gallagher located?

Keith Gallagher practices at 1919 Cottman Ave, Philadelphia, PA 19111. The listed phone number is (267) 350-4800.

What is Keith Gallagher's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Keith Gallagher enrolled in Medicare?

Yes. Keith Gallagher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Gallagher reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Keith Gallagher'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 Keith Gallagher was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.