Individual provider Active NPI

James Walsh, MD

  • Vascular Surgery Physician
  • Naperville, IL
National Provider Identifier
1417913161
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036067091 Issued in IL
Practice address
801 S Washington
Naperville, IL 60540
Phone
(630) 416-8500
Fax
(630) 416-8694
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036067091 IL Primary

Addresses

Primary practice location

801 S Washington
Naperville, IL 60540

Mailing address

2650 Warrenville Rd
Downers Grove, IL 60515
Phone (630) 324-7911

Other identifiers 1

IdentifierTypeStateIssuer
036067091MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100604000744 IL Practitioner - Vascular Surgery 8921138751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3083

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036067091ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery Associates SC CurrentSince Nov 1, 2001 Accepting new patients

Locations

2650 Warrenville Rd
Downers Grove, IL 60515
Phone (714) 815-8800

2650 Warrenville Rd
Ste 280
Downers Grove, IL 60515
Phone (630) 324-7920

133 E Brush Hill Rd
Ste 200
Elmhurst, IL 60126

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: jwalsh17198@direct.edward.org

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.

Hospital & facility affiliations 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1417913161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WARRENVILLE RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "60515",
            "telephone_number": "630-324-7911",
            "fax_number": "630-324-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-416-8500",
            "fax_number": "630-416-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036067091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067091",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.