Individual provider Active NPI

Ryan McMahon Walk, M.D.

  • Pediatric Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1316145113
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD437792 Issued in PA
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5000
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD437792 PA
Pediatric Surgery Physician 2086S0120X ME159971 FL
Pediatric Surgery Physician 2086S0120X MD437792 PA Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

PO Box 13579
Reading, PA 19612-3579
Phone (484) 628-1324

Other practice location 1

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 554-8384

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryan.walkmd@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, 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
I20180926000730 TX Practitioner - Pediatric MedicinePractitioner - General Surgery 4183864176 Reassigns benefits to 1 organization
I20190122000212 PA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 4183864176 Reassigns benefits to 3 organizations
I20230228001753 FL Practitioner - Pediatric MedicinePractitioner - General Surgery 4183864176 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159971FLMDPediatric Surgery Physician
MD437792PAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Baycare Medical Group, Inc. Surgery Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Feb 1, 2022 Accepting new patients
Baycare Medical Group, Inc CurrentSince Jan 18, 2023 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Geisinger Clinic CurrentSince Feb 18, 2019 Accepting new patients
STC Pediatrics LLC CurrentSince Nov 14, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 18, 2023 Accepting new patients
STC Pediatrics LLC CurrentSince Nov 14, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Surgery CurrentSince Feb 1, 2022 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

6901 Simmons Loop
Stop 8066
Riverview, FL 33578

3001 W Mlk Blvd
Fl 1
Tampa, FL 33607
Phone (813) 321-6820

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

100 N Academy Ave
Danville, PA 17822

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855

4499 Medical Dr
Ste 347
San Antonio, TX 78229
Phone (210) 615-8757

Interoperability endpoints

  • Direct secure messaging: ryan.walk@direct.myhealthep.org
  • Direct secure messaging: ryan.walkmd@direct.mybaycare.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1316145113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579",
            "telephone_number": "484-628-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076307",
            "country_code": "US",
            "telephone_number": "813-554-8384",
            "fax_number": "813-443-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALK",
        "first_name": "RYAN",
        "middle_name": "MCMAHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD437792",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME159971",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD437792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.walkmd@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.