Individual provider Active NPI

Martin S Walko, M.D.

  • Surgery Physician
  • Derry, NH
National Provider Identifier
1104837178
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10637 Issued in NH
Practice address
6 Tsienneto Rd
Derry, NH 03038-1584
Phone
(603) 434-7444
Fax
(603) 434-1733
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD061845L PA
Surgery Physician 208600000X 10637 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd
Derry, NH 03038-1584

Mailing address

425 Black Walnut Dr
Mountain Top, PA 18707-1566
Phone (443) 481-6538

Other identifiers 4

IdentifierTypeStateIssuer
0RE5299MedicaidVT
911003800MedicaidMD
1031721820001MedicaidPA
3081247MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARTIN.WALKO@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10637NHMDSurgery Physician
MD061845LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Medical Center, Inc. CurrentSince Apr 4, 2022 Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

262 New Ludlow Rd
Chicopee, MA 01020
Phone (413) 535-4714

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

11 Hospital Dr
Holyoke, MA 01040
Phone (413) 535-4757

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104837178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BLACK WALNUT DR",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071566",
            "telephone_number": "443-481-6538",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-434-7444",
            "fax_number": "603-434-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKO",
        "first_name": "MARTIN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD061845L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "10637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0RE5299",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911003800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031721820001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081247",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARTIN.WALKO@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6 Tsienneto Rd",
            "city": "Derry",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030381584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.