Active NPI
Susan Marie Walsh, DPM
- Podiatrist
- Weymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD2182
- Practice address
- South Shore Health
55 Fogg Road
Weymouth, MA 02190-2432 - Phone
- (617) 322-5252
- Fax
- (617) 322-5252
- NPI assigned
- Apr 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 2182 | MA | |
| Podiatrist | 213E00000X | PD2182 | MA | Primary |
Addresses
Primary practice location
South Shore Health
55 Fogg Road
Weymouth, MA 02190-2432
Mailing address
P.O. Box 103
Readville, MA 02137-0103
Phone (617) 322-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110024958A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060407000504 | MA | Practitioner - Podiatry | 4981647286 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Coastal Medical Associates
Practice addresses (Care Compare)
55 Fogg Rd
South Weymouth, MA 02190-2432
Phone (617) 322-5252
90 Libbey Pkwy
Suite 100
Weymouth, MA 02189-3130
Phone (781) 624-4950
Hospital & facility affiliations
- South Shore Hospital
- Cape Cod Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- Quality
- 88.12
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 256 |
| Removal of nail tissue | 15 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD2182 | MA | MD | Podiatrist |
| 2182 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Coastal Medical Associates | Current | Accepting new patients | |
| Unquity Podiatry | Podiatrist | Current | Accepting new patients |
| Greenwich Podiatry, Inc | Podiatrist | Past | Accepting new patients |
| Boston University General Surgical Associates, Inc. - Podiatry | Past | Accepting new patients | |
| Greenwich Podiatry Group LLC | Podiatrist | Past | Accepting new patients |
Locations
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
Interoperability endpoints
- https://api.platform.athenahealth.com/9443/brand/1/csg/1/fhir/r4
- swalsh12433@direct.bmc.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Surgery Physician
- Boston, MA
- NPI 1730361197
-
- Podiatrist
- East Greenwich, RI
- NPI 1285990986
-
- Podiatrist
- East Greenwich, RI
- NPI 1467530337
Hospital & facility affiliations 2
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": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1083675573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 103",
"city": "READVILLE",
"state": "MA",
"postal_code": "021370103",
"telephone_number": "617-322-5252",
"fax_number": "617-322-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH SHORE HEALTH",
"address_2": "55 FOGG ROAD",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "617-322-5252",
"fax_number": "617-322-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MA",
"license": "2182",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "PD2182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110024958A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.