Paul Edward Walshaw, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

24073 Issued in AZ

Practice address

450 S Ocotillo Ave
Benson, AZ 85602-6403

Phone

(520) 623-2642

Fax

(520) 327-9300

NPI assigned

Jun 21, 2005

Last updated

Nov 5, 2021By the provider in NPPES

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 3

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

NephrologyAlso: Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Tucson South Central Dialysis Dialysis facility, Tucson, AZ, CCN 032589
• Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
• Benson Hospital Hospital, Benson, AZ, CCN 031301
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011
• Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
• Northern Cochise Community Hospital, Inc. Hospital, Willcox, AZ, CCN 031302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2697/brand/1/csg/22/fhir/r4
• Direct secure messaging: paul.walshaw.1@2697.direct.athenahealth.com

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

• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tempe, AZ
  • NPI 1659316008
  Medicare reassignment Care Compare group
• Southwest Kidney Institute Scottsdale LLC

  • Nephrology Physician
  • Phoenix, AZ
  • NPI 1902231012
  Medicare reassignment NPD
• Southwest Kidney Institute, PLC

  • Nephrology Physician
  • Tucson, AZ
  • NPI 1407094436
  NPD

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

• Dva Renal Healthcare Inc

  dba Tucson South Central Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
  • NPI 1013981679

  Dialysis facility

  Care Compare affiliation Name & address match
• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Care Compare affiliation
• Mt Graham Regional Medical Center Inc

  • Critical Access Hospital
  • Safford, AZ
  • NPI 1275588345
  Care Compare affiliation
• Northern Cochise Community Hospital Inc

  • Critical Access Hospital
  • Willcox, AZ
  • NPI 1013060367
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation
• Tucson Medical Center

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1174512792
  Care Compare affiliation

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1023014586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD",
            "address_2": "STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-610-6100",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-623-2642",
            "fax_number": "520-327-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855464015",
            "country_code": "US",
            "telephone_number": "520-623-2642",
            "fax_number": "520-327-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 N Swan Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124046",
            "country_code": "US",
            "telephone_number": "520-623-2642",
            "fax_number": "520-327-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSHAW",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "24073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "123577",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASTNA",
            "identifier": "5231587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379728",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Alain Trepanier, R.PH.
• Brian Lee Turner
• Kai Varela
• Frederick Von Brincken, D.C.
• Walmart Inc. (Walmart Pharmacy 10-3807)
• John P Waytuk, DO

• Nephrology Physician in Benson, AZ
• Providers in Benson, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.