Kent D Walker, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29726 Issued in IA

Practice address

1005 Pennsylvania Ave
Ste 210
Ottumwa, IA 52501-6414

Phone

(641) 683-3195

Fax

(641) 686-3197

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Dermatology

Education

Tulane University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Davis County Hospital Hospital, Bloomfield, IA, CCN 161327
• Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kw3396@forefrontdermatology.emadirect.md

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, IA
  • NPI 1457191967
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ottumwa, IA
  • NPI 1083155501
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Care Compare affiliation
• RCHP Ottumwa LLC

  • General Acute Care Hospital
  • Ottumwa, IA
  • NPI 1013233741
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1376519033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENNSYLVANIA AVE",
            "address_2": "STE 210",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016414",
            "telephone_number": "641-683-3195",
            "fax_number": "641-686-3197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 S Gear Ave Ste 252",
            "address_purpose": "LOCATION",
            "city": "West Burlington",
            "state": "IA",
            "postal_code": "526551687",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5409 Avenue O Ste 123",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526279601",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S White St Ste 27",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "IA",
            "postal_code": "526412263",
            "country_code": "US",
            "telephone_number": "319-752-1805",
            "fax_number": "319-752-1629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KENT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "29726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KW3396@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1005 Pennsylvania Ave",
            "address_2": "Ste 210",
            "city": "Ottumwa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525016414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KW3396@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5409 Avenue O Ste 123",
            "city": "Fort Madison",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526279601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KW3396@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1225 S Gear Ave Ste 252",
            "city": "West Burlington",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526551687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KW3396@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "407 S White St Ste 27",
            "city": "Mount Pleasant",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526412263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Timothy Voyles, P.T.
• Tina Kashaun Wade, RN
• Paula Lynn Waite, RPH
• Wal-Mart Stores, Inc.
• Walgreen Co
• Kimberlee A Walker, ARNP
• Stacy L Walker, ARNP
• Megan Wallace, LMHC
• Walmart Inc.
• Katie Marie Walz, RN, BSN

• Dermatology Physician in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.