Individual provider Active NPI

Monica L Walker, M.D.

  • Specialist
  • Venice, FL
National Provider Identifier
1083802680
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME51117 Issued in FL
Practice address
395 Commercial CT
Ste E
Venice, FL 34292-1651
Phone
(941) 486-1404
Fax
(941) 486-4146
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME51117 FL Primary

Addresses

Primary practice location

395 Commercial CT
Ste E
Venice, FL 34292-1651

Mailing address

395 Commercial CT
Ste E
Venice, FL 34292-1651
Phone (941) 486-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110825000016 FL Practitioner - Dermatology 1355511619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51117FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lee R Lumpkin III MD PA Specialist CurrentSince Oct 1, 2020 Accepting new patients
Arturo Rodriguez-Martin MD PL Past Accepting new patients

Locations

897 E Venice Ave
Venice, FL 34285
Phone (941) 486-1404

897 E Venice Ave
Ste A
Venice, FL 34285
Phone (941) 486-1404

395 Commercial Ct
Ste E
Venice, FL 34292
Phone (941) 486-1404

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1083802680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 COMMERCIAL CT",
            "address_2": "STE E",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921651",
            "telephone_number": "941-486-1404",
            "fax_number": "941-486-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 COMMERCIAL CT",
            "address_2": "STE E",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921651",
            "telephone_number": "941-486-1404",
            "fax_number": "941-486-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MONICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME51117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.