Active NPI
Walter Elrod, MD
- Emergency Medicine Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036140323
- Practice address
- 611 W. Park St.
Emergency Med.
Urbana, IL 61801-2500 - Phone
- (217) 383-3313
- Fax
- (217) 383-4014
- NPI assigned
- Mar 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-07-5044 | OH | |
| Emergency Medicine Physician | 207P00000X | 036140323 | IL | Primary |
Addresses
Primary practice location
611 W. Park St.
Emergency Med.
Urbana, IL 61801-2500
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6941
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095950 | Medicaid | OH | |
| 4429887 | Medicaid | MI | |
| 000000271432 | Other | OH | ANTHEM |
| 341960760027 | Other | OH | CARESOURCE |
| 727137 | Other | OH | BCHP |
| 810547599035 | Medicaid | OH | |
| 000000372958 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040907000783 | OH | Practitioner - Emergency Medicine | 6507779618 | Reassigns benefits to 3 organizations |
| I20160629000718 | IL | Practitioner - Emergency Medicine | 6507779618 | Reassigns benefits to 3 organizations |
| I20190115000652 | FL | Practitioner - Emergency Medicine | 6507779618 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Physician Associates LLCPensacola Emergency Physicians, LLC
Practice addresses (Care Compare)
1000 W Moreno St
Pensacola, FL 32501-2316
Phone (850) 469-2491
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
Hospital & facility affiliations
- Gulf Breeze Hospital
- Carle Foundation Hospital
- Baptist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036140323 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Current | Accepting new patients |
| The Toledo Hospital | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| Pensacola Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Carle Health Care Incorporated | Emergency Medicine | Current | Accepting new patients |
| Joint Township District Memorial Hospital | Current | Accepting new patients | |
| Pensacola Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Physician Associates LLC | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Emergency Medicine | Current | Accepting new patients |
| The Toledo Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Fostoria Hospital Association | Past | Accepting new patients | |
| Baptist Physician Associates LLC | Past | Accepting new patients | |
| Blue Job Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians of Northwest Ohio, LLC | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| JTDM Family Practice LLC | Past | Accepting new patients |
Locations
8888 Navarre Pkwy
Ste 106
Navarre, FL 32566
Phone (850) 908-8888
8888 Navarre Pkwy
Navarre, FL 32566
Phone (850) 437-8800
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320
501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734
1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800
200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1801841473
Emergency Medicine, FL
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
Emergency Medicine, IL
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
OH
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
Emergency Medicine, OH
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1043274418
OH
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
-
- Emergency Medicine Physician
- Gulf Breeze, FL
- NPI 1427356393
Emergency Medicine
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
Hospital & facility affiliations 4
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": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1235199738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "EMERGENCY MED.",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-3313",
"fax_number": "217-383-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELROD",
"first_name": "WALTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35-07-5044",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036140323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2095950",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4429887",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000271432",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341960760027",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCHP",
"identifier": "727137",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "810547599035",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000372958",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.