Active NPI
Andy Edward Walker, M.D.
- Family Medicine Physician
- Belleville, KS
National Provider Identifier
1255436812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22375
- Practice address
- 2337 G St
Belleville, KS 66935-2463 - Phone
- (785) 527-2217
- Fax
- (785) 527-5929
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22375 | KS | Primary |
Addresses
Primary practice location
2337 G St
Belleville, KS 66935-2463
Mailing address
2337 G St
Belleville, KS 66935-2463
Phone (785) 527-2217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119390A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Crestvue Ave
Mankato, KS 66956-2407
Phone (785) 378-3137
Hospital & facility affiliations
- Jewell County Hospital
- Mitchell County Hospital Health Systems
- Brodstone Healthcare
- Republic County Hospital
- Cloud County Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22375 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewell County Hospital | Current | Accepting new patients | |
| Belleville Medical Clinic, P.a. | Family Medicine | Current | Accepting new patients |
| Jewell County Hospital | Past | Accepting new patients | |
| Jewell County Hospital | Past | Accepting new patients |
Locations
2337 G St
Ste 200
Belleville, KS 66935
Phone (785) 527-2217
2337 G St
Belleville, KS 66935
Phone (785) 527-2217
100 Crestvue Ave
Mankato, KS 66956
Phone (785) 346-2510
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2daa157e-8b5f-4b5c-b571-5b57834b9765/
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Belleville, KS
- NPI 1376648907
Family Medicine
-
- Rural Health Clinic/Center
- Mankato, KS
- NPI 1386689586
-
- Medicare Defined Swing Bed Hospital Unit
- Mankato, KS
- NPI 1811925290
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": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1255436812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 G ST",
"city": "BELLEVILLE",
"state": "KS",
"postal_code": "669352463",
"telephone_number": "785-527-2217",
"fax_number": "785-527-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 G ST",
"city": "BELLEVILLE",
"state": "KS",
"postal_code": "669352463",
"telephone_number": "785-527-2217",
"fax_number": "785-527-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ANDY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "22375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119390A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.