Kevin M. Walsh

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

136882 Issued in NY

Practice address

750 E Adams St
Syracuse, NY 13210-2306

Phone

(315) 464-4720

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Anesthesiology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syracuse ASC LLCGroup PAC ID 2062586001, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Syracuse Anesthesia & Pain Management, PLLC

  • Anesthesiology Physician
  • Liverpool, NY
  • NPI 1801833793
  Medicare reassignment NPD Authorized official
• Syracuse ASC LLC

  • Anesthesiology Physician
  • Liverpool, NY
  • NPI 1790591576
  Medicare reassignment Care Compare group NPD
• Camillus Anesthesia PLLC

  • Anesthesiology Physician
  • Camillus, NY
  • NPI 1801476411
  Medicare reassignment NPD
• Cortland ENT, PC

  • Sleep Medicine (Otolaryngology) Physician
  • Cortland, NY
  • NPI 1417144239
  Medicare reassignment NPD
• Upstate Medical Anesthesiology Group, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1851485759
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1417929522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052548",
            "telephone_number": "315-464-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "136882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00549179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Walsh, LCSW
• Jeremy Walsh
• Kathleen E Walsh, MS ED. TSHH
• Kerry Elizabeth Walsh, PT
• Kevin Cunningham Walsh, DO
• Mary E. Walsh
• Matthew Vellone Walsh, MD
• Michelle Walsh, COTA
• Ronald E. Walsh, NP
• Salome Walsh, MD

• Anesthesiology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.