Individual provider Active NPI

Timothy P Walsh, MD

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
National Provider Identifier
1114919354
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD037813E Issued in PA
Practice address
1000 N Front St
Wormleysburg, PA 17043-1034
Phone
(717) 731-0101
Fax
(717) 731-8359
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037813E PA
Cardiovascular Disease Physician 207RC0000X MD037813E PA Primary

Addresses

Primary practice location

1000 N Front St
Wormleysburg, PA 17043-1034

Mailing address

409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612

Other practice location 1

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

Other practice location 2

12 St Paul Dr Ste 205
Chambersburg, PA 17201-1035
Phone (717) 217-6881

Other identifiers 1

IdentifierTypeStateIssuer
001418905MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twalsh7268@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040305000073 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4183512882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2005 Technology Pkwy
Suite 300
Mechanicsburg, PA 17050-9413
Phone (717) 731-0101

2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

300 Bretz CT
Newport, PA 17074-8614
Phone (717) 567-7246

360 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 243-6557

830 Norland Ave
Chambersburg, PA 17201-4217
Phone (717) 217-6881

900 Century Dr
Mechanicsburg, PA 17055-4525
Phone (717) 920-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037813EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Moffitt Heart and Vascular Group Inc. Cardiovascular Disease Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

12 St Paul Dr
Ste 205
Chambersburg, PA 17201
Phone (717) 217-6881

757 Norland Ave
Ste 205
Chambersburg, PA 17201
Phone (717) 217-6881

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050

659 Spring Garden Dr
Middletown, PA 17057
Phone (717) 835-1116

1000 N Front St
Ste 200
Wormleysburg, PA 17043

1000 N Front St
Wormleysburg, PA 17043

Interoperability endpoints

  • Direct secure messaging: twalsh306790@upmc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1114919354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-243-6557",
            "fax_number": "717-243-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6881",
            "fax_number": "717-217-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037813E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD037813E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001418905",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twalsh7268@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1000 N Front St",
            "city": "Wormleysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.