NPIMap

Individual provider Active NPI

R. Kent Walker, MD

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1003877069
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H6683 Issued in TX
Practice address
627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539
Fax
(903) 593-0559
NPI assigned
Mar 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H6683 TX Primary

Addresses

Primary practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832

Mailing address

627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone (903) 593-2539

Other identifiers 1

IdentifierTypeStateIssuer
125629901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000187 TX Practitioner - Diagnostic Radiology 7214034511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at San Antonio, 1988
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H6683TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Imaging of Tyler, LP CurrentSince Jan 16, 2012 Accepting new patients
Radiology Associates of North Texaspa Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Tyler Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 1999 Accepting new patients
Mother Frances Hospital Regional Health Care Center Current Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology Past Accepting new patients

Locations

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

627 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 597-6372

Interoperability endpoints

  • Direct secure messaging: rwalker355847@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1003877069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "R.",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H6683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125629901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.