Individual provider Active NPI

Danielle S. Walsh, MD

  • Pediatric Surgery Physician
  • Lexington, KY
National Provider Identifier
1396756821
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
56535 Issued in KY
Practice address
740 S Limestone Ste 201
Lexington, KY 40536-2849
Phone
(859) 218-2522
Fax
(859) 323-3918
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME90213 FL
Pediatric Surgery Physician 2086S0120X 2011-00774 NC
Pediatric Surgery Physician 2086S0120X 56535 KY Primary

Addresses

Primary practice location

740 S Limestone Ste 201
Lexington, KY 40536-2849

Mailing address

3803 Charleston CT
Greenville, NC 27834-7667
Phone (252) 481-1238

Other practice location 1

1717 S Orange Ave
Orlando, FL 32806-2944
Phone (407) 567-5924

Other identifiers 4

IdentifierTypeStateIssuer
5918320MedicaidNC
000446729AMedicaidGA
163PPOtherNCBCBSNC
270146400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SD, PA, KY, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110729000575 NC Practitioner - General SurgeryPractitioner - Pediatric Medicine 0749253920 Reassigns benefits to 1 organization
I20220106000311 SD Practitioner - General Surgery 0749253920 Reassigns benefits to 1 organization
I20220330002874 PA Practitioner - General Surgery 0749253920 Reassigns benefits to 1 organization
I20220630000831 KY Practitioner - General Surgery 0749253920 Reassigns benefits to 2 organizations
I20251016004682 VA Practitioner - General Surgery 0749253920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Florida College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Philadelphia, PA 19178

PO Box
Suite 980503
Richmond, VA 23298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90213FLMDPediatric Surgery Physician
56535KYMDPediatric Surgery Physician
2011-00774NCMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Nov 22, 2021 Accepting new patients
Avera McKennan CurrentSince Nov 22, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
University of Kentucky CurrentSince Jul 1, 2022 Accepting new patients
MCV Associated Physicians CurrentSince Aug 8, 2025 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 21, 2021 Accepting new patients
Kentucky Medical Services Foundation, Inc Surgery CurrentSince Jul 1, 2022 Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 21, 2021 Accepting new patients

Locations

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1000 E Broad St
Richmond, VA 23219

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

Interoperability endpoints

  • Direct secure messaging: dwalsh219633@ukhcdirect.org

Organizations & group practices 9

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1396756821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 CHARLESTON CT",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347667",
            "telephone_number": "252-481-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405362849",
            "telephone_number": "859-218-2522",
            "fax_number": "859-323-3918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 S Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328062944",
            "country_code": "US",
            "telephone_number": "407-567-5924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DANIELLE",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME90213",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NC",
            "license": "2011-00774",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "KY",
            "license": "56535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918320",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000446729A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "163PP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270146400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.