Individual provider Active NPI

Steven M Walczak, MD

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1174519995
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME70318 Issued in FL
Practice address
52 W Underwood St
Orlando, FL 32806-1110
Phone
(321) 842-8475
Fax
(407) 849-6470
NPI assigned
Sep 27, 2005
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME70318 FL Primary

Addresses

Primary practice location

52 W Underwood St
Orlando, FL 32806-1110

Mailing address

52 W Underwood St
Orlando, FL 32806-1110
Phone (321) 842-8475

Other identifiers 4

IdentifierTypeStateIssuer
68794VOtherFLMEDICARE PTAN OHRI
379802000MedicaidFL
68794OtherFLBCBS
PS368OtherFLMEDICARE PTAN OHMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041206000661 FL Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 1355307950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10889 W Colonial Dr
Ocoee, FL 34761-2939
Phone (407) 331-9355

1210 E Osceola Pkwy
Kissimmee, FL 34744-1621
Phone (407) 331-9355

1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111

1675 W Broadway St
Oviedo, FL 32765-6577
Phone (407) 331-9355

2000 N Alafaya TRL
Suite 800
Orlando, FL 32826-4755
Phone (407) 331-9355

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

5151 Winter Garden Vineland Rd
Suite 104
Windermere, FL 34786-6098
Phone (407) 331-9355

540 8TH St S
Suite 1100
St Petersburg, FL 33701-4505
Phone (407) 331-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME70318FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC CurrentSince Aug 19, 2015 Accepting new patients
Ohri, LLC CurrentSince Aug 19, 2015 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Oakwood Healthcare Inc Past Accepting new patients
Florida Institute of Research Medicine and Surgery PA Past Accepting new patients
Singleton Associates PA Diagnostic Radiology PastSince May 15, 2024 Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC Diagnostic Radiology PastSince Jan 1, 2007 Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

9400 Turkey Lake Rd
#P
Orlando, FL 32819
Phone (407) 351-8519

1000 W Broadway St
Oviedo, FL 32765
Phone (407) 359-6000

1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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.

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1174519995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALCZAK",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME70318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHRI",
            "identifier": "68794V",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379802000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68794",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OHMG",
            "identifier": "PS368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.