NPIMap

Individual provider Active NPI

Sara Ritchey Walker Koziol, MD

  • Internal Medicine Physician
  • Calera, AL
National Provider Identifier
1174593131
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15973 Issued in AL
Practice address
11206 Highway 25
Calera, AL 35040
Phone
(205) 668-0941
Fax
(205) 668-3750
NPI assigned
Jan 24, 2006
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15973 AL Primary

Addresses

Primary practice location

11206 Highway 25
Calera, AL 35040

Mailing address

PO Box 1450
Calera, AL 35040
Phone (205) 668-0941

Other identifiers 7

IdentifierTypeStateIssuer
2015OtherALHEALTH SPRINGS
009938511MedicaidAL
1460528OtherALUMWA
167582201OtherFED BLACK LUNG
4343563OtherALAETNA
0410040OtherALUHC AND MEDICARE COMPLETE
51535694OtherALBCBS

Other names 1

  • Sara Ritchey Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109001073 AL Practitioner - Internal Medicine 1355304429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lister Health Care CorporationGroup PAC ID 5395646202, 14 clinicians

Practice addresses (Care Compare)

11206 Hwy 25
Calera, AL 35040-6814
Phone (205) 668-0941

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15973ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Health Care Corporation Internal Medicine Current Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Lister Health Care Corporation Internal Medicine Past Accepting new patients
Lister Health Care Corporation Past Accepting new patients

Locations

30320 AL Highway 53
Ste B
Ardmore, AL 35739
Phone (256) 423-4800

11206 Highway 25
Calera, AL 35040
Phone (205) 668-0941

Interoperability endpoints

  • Direct secure messaging: swalker@cfh-al.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1174593131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "35040",
            "telephone_number": "205-668-0941",
            "fax_number": "205-668-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11206 HIGHWAY 25",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "35040",
            "telephone_number": "205-668-0941",
            "fax_number": "205-668-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER KOZIOL",
        "first_name": "SARA",
        "middle_name": "RITCHEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "15973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRINGS",
            "identifier": "2015",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938511",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1460528",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLACK LUNG",
            "identifier": "167582201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4343563",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC AND MEDICARE COMPLETE",
            "identifier": "0410040",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51535694",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "WALKER",
            "middle_name": "RITCHEY",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Calera, AL

Sources for this page

Verify at the official NPI Registry.