Individual provider Active NPI

Richard Peter Walsh, MD

  • Family Medicine Physician
  • Bowling Green, OH
National Provider Identifier
1043214828
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35049712 Issued in OH
Practice address
960 W Wooster St Ste 105
Bowling Green, OH 43402-2646
Phone
(419) 353-6262
Fax
(419) 353-6260
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35049712 OH Primary

Addresses

Primary practice location

960 W Wooster St Ste 105
Bowling Green, OH 43402-2646

Mailing address

960 W Wooster St Ste 105
Bowling Green, OH 43402-2646
Phone (419) 353-6262

Other identifiers 1

IdentifierTypeStateIssuer
0542416MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address richard-walsh@drrichardwalsh.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040312000363 OH Practitioner - Family Practice 4688563422

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 Haskins Rd
Suite B
Bowling Green, OH 43402-1600

745 Haskins Rd B
Bowling Green, OH 43402-1600

960 W Wooster St
Suite 105
Bowling Green, OH 43402-2646

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35049712OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RC Miller MD., LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Riverwood Emergency Services Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: richard-walsh@drrichardwalsh.e-mdsdirect.com
  • Direct secure messaging: richard.walsh.p1@direct.whc.nextgenshare.com

Organizations & group practices 3

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 1

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1043214828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST STE 105",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022646",
            "telephone_number": "419-353-6262",
            "fax_number": "419-353-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST STE 105",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022646",
            "telephone_number": "419-353-6262",
            "fax_number": "419-353-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RICHARD",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542416",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard-walsh@drrichardwalsh.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "960 W Wooster St Ste 105",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.