Active NPI
Charles Nathan Walker, M.D.
- Urology Physician
- Newburgh, NY
National Provider Identifier
1154402139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 294066
- Practice address
- 1200 Route 300
Newburgh, NY 12550-5003 - Phone
- (845) 703-6999
- Fax
- (845) 703-6297
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 294066 | NY | Primary |
Addresses
Primary practice location
1200 Route 300
Newburgh, NY 12550-5003
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4057
Phone (845) 703-6999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charles.walkermd.p1@direct.crystalrun.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294066 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
665 Stoneleigh Ave
Ste 209
Carmel, NY 10512
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- charles.walkermd.p1@direct.crystalrun.nextgenshare.com
- cwalker69158@northwell.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Westchester Hospital Transitional Care Unit
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
dba Northern Westchester Hospital
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1154402139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CRYSTAL RUN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414057",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ROUTE 300",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505003",
"telephone_number": "845-703-6999",
"fax_number": "845-703-6297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "CHARLES",
"middle_name": "NATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "294066",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charles.walkermd.p1@direct.crystalrun.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1200 Route 300",
"city": "Newburgh",
"state": "NY",
"country_code": "US",
"postal_code": "125505003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.