Individual provider Active NPI

Walter Elrod, MD

  • Emergency Medicine Physician
  • Urbana, IL
National Provider Identifier
1235199738
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036140323 Issued in IL
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

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2095950MedicaidOH
4429887MedicaidMI
000000271432OtherOHANTHEM
341960760027OtherOHCARESOURCE
727137OtherOHBCHP
810547599035MedicaidOH
000000372958OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 LLC 5 clinicians
Pensacola Emergency Physicians, LLC 41 clinicians

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 Hospital, Gulf Breeze, FL, CCN 100266
  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140323ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle West Physician Group Inc CurrentSince Aug 18, 2020 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
The Toledo Hospital CurrentSince Jul 29, 2022 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 CurrentSince Jul 30, 2017 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Feb 1, 2018 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Baptist Physician Associates LLC CurrentSince Sep 14, 2020 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Midwest Emergency Department Specialists LTD Emergency Medicine CurrentSince Jul 2, 2016 Accepting new patients
The Toledo Hospital CurrentSince Jul 29, 2022 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Baptist Physician Associates LLC PastSince Nov 8, 2020 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

  • FHIR API: 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.

View all 20

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

Verify at the official NPI Registry.