Individual provider Active NPI

Walter Michael Kobialka, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1033214358
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
135661 Issued in NY
Practice address
1275 Summer St Ste 102
Stamford, CT 06905-5315
Phone
(203) 325-0764
Fax
(203) 325-0865
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 135661 NY Primary

Addresses

Primary practice location

1275 Summer St Ste 102
Stamford, CT 06905-5315

Mailing address

219 Branch Brook Rd
Wilton, CT 06897-1804
Phone (203) 762-8562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20121126000656 CT Order and Referring Only - Internal MedicinePractitioner - Geriatric PsychiatryPractitioner - Internal Medicine 8123212073

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1033214358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BRANCH BROOK RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971804",
            "telephone_number": "203-762-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SUMMER ST STE 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055315",
            "telephone_number": "203-325-0764",
            "fax_number": "203-325-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBIALKA",
        "first_name": "WALTER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "135661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.