Active NPI
Kevin William Walsh, MD
- Psychiatry Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C1-0027039
- Practice address
- 501 W 14TH St FL 3
Wilmington, DE 19801-1013 - Phone
- (302) 320-2962
- Fax
- (302) 320-4934
- NPI assigned
- Mar 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MT226808 | PA | |
| Psychiatry Physician | 2084P0800X | C1-0027039 | DE | Primary |
Addresses
Primary practice location
501 W 14TH St FL 3
Wilmington, DE 19801-1013
Mailing address
501 W 14TH St FL 3
Wilmington, DE 19801-1013
Phone (302) 320-2962
Other practice location 1
111 S 11th St
Philadelphia, PA 19107-4824
Phone (215) 955-8420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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
- Psychiatry
- Education
- Jefferson Medical College of Thomas Jefferson University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 W 14TH St Wilmington Hospital
CCHS Psychiatry
Wilmington, DE 19801-1013
Phone (302) 428-4410
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0027039 | DE | MD | Psychiatry Physician |
| MT226808 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients | |
| Christiana Care Health Services Inc | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Psychiatry | Past | Accepting new patients |
Locations
100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900
501 W 14th St
Fl 3
Wilmington, DE 19801
Phone (302) 320-2962
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Organizations & group practices 6
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Family Medicine Physician
- Hockessin, DE
- NPI 1134104565
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Infectious Disease Physician
- Wilmington, DE
- NPI 1326022476
-
- Cardiovascular Disease Physician
- Newark, DE
- NPI 1003850504
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1083699433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1326508656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W 14TH ST FL 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011013",
"telephone_number": "302-320-2962",
"fax_number": "302-320-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W 14TH ST FL 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011013",
"telephone_number": "302-320-2962",
"fax_number": "302-320-4934"
}
],
"practiceLocations": [
{
"address_1": "111 S 11th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074824",
"country_code": "US",
"telephone_number": "215-955-8420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "KEVIN",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MT226808",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0027039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.