Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariam Gallagher, DO

Individual provider Family Medicine Physician · NPI 1366825234

Mariam Gallagher, DO is a Family Practice in Waterloo, Iowa. Qualified in 2015, 11 years ago. Practices with Covenant Medical Center Inc, a 235-clinician group and accepts Medicare assignment. Licensed in Iowa, Oklahoma and Texas.

Years since qualifying
11
Licensed in
IA, OK, TX
In the registry since
2015
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2055 Kimball Ave
Waterloo, IA 50702-5014
Phone: (818) 624-4536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO-05933 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence S6840 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5940 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0097R (OK)

Record details

NPI number1366825234
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 9, 2015
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address2055 Kimball Ave Ste 201, Waterloo, IA 50702-5047

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Covenant Medical Center Inc — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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