Mark Kim Walsh, M.D.,PHD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

41270 Issued in AZ

Practice address

6561 E. Carondelet Dr.
Tucson, AZ 85710-2161

Phone

(520) 886-2597

Fax

(520) 886-6639

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Washington University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rasw, PCGroup PAC ID 5395731889, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: mwalsh@retinatucson.intellechartdirect.net

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.

• Rasw, PC

  dba Retina Associates Southwest, P.C.

  • Retina Specialist (Ophthalmology) Physician
  • Tucson, AZ
  • NPI 1407916992
  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1215003793
  NPD (past)
• John a. Vollmer, MD, PC

  • Family Medicine Physician
  • Roseville, MI
  • NPI 1790965838
  NPD (past)
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1003952318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 E. CARONDELET DR.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102161",
            "telephone_number": "520-886-2597",
            "fax_number": "520-886-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6561 E. CARONDELET DR.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102161",
            "telephone_number": "520-886-2597",
            "fax_number": "520-886-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARK",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "41270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittani Walsh, PHARMD
• Heather H Walsh, M.D.
• Jacob Walsh, MD
• John E Walsh, PSY.D
• Joshua A Walsh, MD
• Mary C Walsh, N.P.
• Rachel J Walsh, CPM, LM
• Travis Kent Walsh, D.O.
• Debra L Walshaw, M.D.
• Michael Sherwin Walston, M.D.

• Retina Specialist (Ophthalmology) Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Retina Specialist (Ophthalmology) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.