Individual provider Active NPI

Emron O Walwyn, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1346535820
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME121523 Issued in FL
Practice address
1200 Brickell Ave
Ste 1950
Miami, FL 33131-3298
Phone
(504) 756-1795
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME121523 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME121523 FL
Internal Medicine Physician 207R00000X ME121523 FL Primary

Addresses

Primary practice location

1200 Brickell Ave
Ste 1950
Miami, FL 33131-3298

Mailing address

1200 Brickell Ave
Ste 1950
Miami, FL 33131-3298
Phone (504) 756-1795

Other identifiers 1

IdentifierTypeStateIssuer
INTERNMedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623001352 GA Order and Referring Only - HospitalistPractitioner - Hospitalist 6406139518

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Dade County Florida Past Accepting new patients

Organizations & group practices 1

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1346535820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL AVE",
            "address_2": "STE 1950",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313298",
            "telephone_number": "504-756-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRICKELL AVE",
            "address_2": "STE 1950",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313298",
            "telephone_number": "504-756-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALWYN",
        "first_name": "EMRON",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME121523",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME121523",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INTERN",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.