Active NPI
Martin S Walko, M.D.
- Surgery Physician
- Derry, NH
National Provider Identifier
1104837178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10637
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0RE5299 | Medicaid | VT | |
| 911003800 | Medicaid | MD | |
| 1031721820001 | Medicaid | PA | |
| 3081247 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10637 | NH | MD | Surgery Physician |
| MD061845L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holyoke Medical Center, Inc. | Current | 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.
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- Orthopaedic Surgery Physician
- Franconia, NH
- NPI 1134497688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.