Individual provider Active NPI

Carl D Walker Jr., M. D.

  • Internal Medicine Physician
  • Harvey, LA
National Provider Identifier
1255442539
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017885 Issued in LA
Practice address
1816 Industrial Blvd
Harvey, LA 70058-2314
Phone
(504) 366-7638
NPI assigned
Aug 31, 2006
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 017885 LA
Internal Medicine Physician 207R00000X 017885 LA Primary

Addresses

Primary practice location

1816 Industrial Blvd
Harvey, LA 70058-2314

Mailing address

1901 Perdido St
New Orleans, LA 70112-1393
Phone (504) 568-2259

Other identifiers 1

IdentifierTypeStateIssuer
1900109MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101209001443 LA Practitioner - Internal Medicine 9032306469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone 5045295558430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017885LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Thomas Community Health Center, Inc. Internal Medicine Current Accepting new patients
St. Thomas Community Health Center, Inc. CurrentSince Nov 1, 2020 Accepting new patients
St. Thomas Community Health Center, Inc CurrentSince Nov 1, 2020 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients
St. Thomas Community Health Center, Inc Internal Medicine Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients
St. Thomas Community Health Center, Inc Past Accepting new patients
St. Thomas Community Health Center, Inc. Past Accepting new patients

Locations

230 Ochsner Blvd
Gretna, LA 70056

1020 Saint Andrew St
New Orleans, LA 70130

1936 Magazine St
New Orleans, LA 70130

2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888

2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115

3221 General Degaulle Dr
New Orleans, LA 70114

3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1255442539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PERDIDO ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121393",
            "telephone_number": "504-568-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 INDUSTRIAL BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582314",
            "telephone_number": "504-366-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CARL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "017885",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900109",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.