NPIMap

Individual provider Active NPI

Tracy Walsh, M.D.

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1316250103
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME116050 Issued in FL
Practice address
311 9TH St N Ste 100
Naples, FL 34102-5886
Phone
(239) 624-0940
Fax
(239) 624-0941
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116050 FL Primary

Addresses

Primary practice location

311 9TH St N Ste 100
Naples, FL 34102-5886

Mailing address

311 9TH St N Ste 300
Naples, FL 34102-5887
Phone (239) 624-0940

Other identifiers 3

IdentifierTypeStateIssuer
HH964ZOtherFLMEDICARE
009157000MedicaidFL
14Q9TOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130709000637 FL Practitioner - Internal Medicine 5890935142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

2450 Goodlette Rd N
Naples, FL 34103-4595

311 9TH St N
Naples, FL 34102-5886

311 9TH St N
Naples, FL 34102-5887

3302 Bonita Beach Rd
Suite 170
Bonita Springs, FL 34134-4217
Phone (239) 624-1050

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116050FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jul 15, 2013 Accepting new patients
Nchmd Inc CurrentSince Jul 15, 2013 Accepting new patients

Locations

311 Tamiami Trl N
Ste 300
Naples, FL 34102
Phone (239) 213-9970

311 9th St N
Ste 101
Naples, FL 34102
Phone (239) 624-1700

311 Tamiami Trl N
Ste 100
Naples, FL 34102
Phone (239) 624-0940

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: twalsh23349@nchhealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1316250103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 9TH ST N STE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025887",
            "telephone_number": "239-624-0940",
            "fax_number": "239-624-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 9TH ST N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025886",
            "telephone_number": "239-624-0940",
            "fax_number": "239-624-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HH964Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009157000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14Q9T",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.