Individual provider Active NPI

Walter Roberts Parker, MD

  • Urology Physician
  • Poughkeepsie, NY
National Provider Identifier
1124144498
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
260079 Issued in NY
Practice address
50 Eastdale Ave N
Poughkeepsie, NY 12603
Phone
(845) 437-5000
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 260079 NY Primary

Addresses

Primary practice location

50 Eastdale Ave N
Poughkeepsie, NY 12603

Mailing address

243 North Rd
Suite 304
Poughkeepsie, NY 12601-1172
Phone (845) 437-5000

Other practice location 1

55 Eastdale Ave N
Poughkeepsie, NY 12603
Phone (845) 437-5000

Other identifiers 1

IdentifierTypeStateIssuer
03374114MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110822000048 NY Practitioner - Urology 3870763352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

243 N Rd
Poughkeepsie, NY 12601-1173

50 Eastdale Ave N
Poughkeepsie, NY 12603-1694
Phone (845) 437-5000

696 Dutchess Tpke
Poughkeepsie, NY 12603-6444
Phone (845) 454-8200

955 Little Britain Rd
New Windsor, NY 12553-7354
Phone (845) 437-5000

Hospital & facility affiliations

  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Sep 1, 2011 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Urology CurrentSince Sep 1, 2011 Accepting new patients
Dutchess Ambulatory Surgical Center PastSince Jun 22, 2018 Accepting new patients

Locations

111 Marys Ave
Kingston, NY 12401
Phone (845) 339-4900

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

1 Columbia St
Ste 390
Poughkeepsie, NY 12601
Phone (845) 437-5000

243 North Rd
Ste 101B
Poughkeepsie, NY 12601

50 Eastdale Ave N
Poughkeepsie, NY 12603
Phone (845) 437-5000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: wparker@premiermedicalhv.medentdirect.com

Organizations & group practices 3

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 6

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1124144498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-437-5000",
            "fax_number": "845-451-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EASTDALE AVE N",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-437-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Eastdale Ave N",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "12603",
            "country_code": "US",
            "telephone_number": "845-437-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "WALTER",
        "middle_name": "ROBERTS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "260079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.