Individual provider Active NPI

Robert Thomas Walsh, DO

  • Obstetrics & Gynecology Physician
  • Robinson, IL
National Provider Identifier
1225028202
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036088328 Issued in IL
Practice address
1101 N Allen St
Robinson, IL 62454-1168
Phone
(618) 546-3800
Fax
(618) 544-4410
NPI assigned
Oct 21, 2005
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036088328 IL Primary

Addresses

Primary practice location

1101 N Allen St
Robinson, IL 62454-1168

Mailing address

1101 N Allen St
Robinson, IL 62454-1168
Phone (618) 546-3800

Other identifiers 1

IdentifierTypeStateIssuer
036088328MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.walsh@crawfordmh.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041103000998 IL Practitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 7012978778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, 71 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-3131

1000 N Allen St C
CMH Bone and Joint Center
Robinson, IL 62454-1167
Phone (618) 546-1294

1002 N Allen St B
Robinson, IL 62454-1167

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Current Accepting new patients
Crawford Hospital District CurrentSince Aug 5, 2002 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Crawford Hospital District Obstetrics & Gynecology CurrentSince Aug 5, 2002 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Crawford Hospital District Current Accepting new patients
Lawrence County Memorial Hospital Past Accepting new patients
Crawford Hospital District Past Accepting new patients

Locations

2111 Lexington Ave
Lawrenceville, IL 62439
Phone (618) 943-6202

2111 Lexington Ave
Ste 1
Lawrenceville, IL 62439
Phone (618) 943-7214

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1002 N Allen St
Ste B
Robinson, IL 62454

1101 N Allen St
Robinson, IL 62454
Phone (618) 544-3125

Interoperability endpoints

  • Direct secure messaging: robert.walsh@crawfordmh.cernerdirect.com

Organizations & group practices 8

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 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1225028202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-546-3800",
            "fax_number": "618-544-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541168",
            "telephone_number": "618-546-3800",
            "fax_number": "618-544-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036088328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088328",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.walsh@crawfordmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 N Allen St",
            "city": "Robinson",
            "state": "IL",
            "country_code": "US",
            "postal_code": "624541168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.