Individual provider Active NPI

Lee William Walker Jr., M.D.

  • Specialist
  • Little Rock, AR
National Provider Identifier
1417044348
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C8337 Issued in AR
Practice address
9600 Lile Dr
Suite 220
Little Rock, AR 72205-6326
Phone
(501) 219-1029
Fax
(501) 219-1174
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C8337 AR Primary

Addresses

Primary practice location

9600 Lile Dr
Suite 220
Little Rock, AR 72205-6326

Mailing address

131 Hidden Valley Loop
Maumelle, AR 72113-6780
Phone (501) 663-6900

Other identifiers 1

IdentifierTypeStateIssuer
145041002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20040518000987 AR Practitioner - Internal Medicine 2769472299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9600 Baptist Health Dr
Suite 220
Little Rock, AR 72205-6344
Phone (501) 219-1028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as individual
Quality
76.99
Promoting interoperability
78
Improvement activities
40
Cost
84.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8337ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Internal Medicine Clinic PA Specialist CurrentSince Oct 15, 2001 Accepting new patients
Fair Park Medical Clinic Single Specialty Past Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9600 Baptist Health Dr
Ste 220
Little Rock, AR 72205
Phone (501) 219-1028

Interoperability endpoints

  • Direct secure messaging: lwalker2374@direct.baptist-healthar.org

Organizations & group practices 3

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 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1417044348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HIDDEN VALLEY LOOP",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136780",
            "telephone_number": "501-663-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 LILE DR",
            "address_2": "SUITE 220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056326",
            "telephone_number": "501-219-1029",
            "fax_number": "501-219-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C8337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145041002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.