Walter Woodley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

170628 Issued in NY

Practice address

1 Family Practice Dr
Kingston, NY 12401-6449

Phone

(845) 338-6400

Fax

(845) 339-7288

NPI assigned

May 10, 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

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

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellenville Regional Hospital Hospital, Ellenville, NY, CCN 331310
• Ellenville Regional Hospital Nursing home, CCN 33Z310

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: walter.woodley.1@13746.direct.athenahealth.com

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.

• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1295729408
  Medicare reassignment Care Compare group NPD
• The Institute for Family Health

  • Family Medicine Physician
  • New York, NY
  • NPI 1972877017
  NPD
• Mid-Hudson Family Health Institute

  • Family Medicine Physician
  • New Paltz, NY
  • NPI 1326093642
  NPD (past)
• Westchester-Ellenville Hospital, Inc.

  • Critical Access Hospital
  • Ellenville, NY
  • NPI 1073525341
  NPD (past)

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

• Westchester-Ellenville Hospital, Inc.

  • Critical Access Hospital
  • Ellenville, NY
  • NPI 1073525341
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1427008663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "address_2": "SUITE 204",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611623",
            "telephone_number": "845-255-3046",
            "fax_number": "845-255-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016449",
            "telephone_number": "845-338-6400",
            "fax_number": "845-339-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "WALTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069603",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Wood, LPN
• Eve Allison Wood, M.D.
• Michelle Lynn Wood, LPN
• Richard Milhous Wood, MD
• Brian Woodard
• Alexandra Woolfe, LMHC
• Hope Wootan, RN
• Cathy Woyahn, LCSW-R
• Christina Wright, LCSW
• Lina Wu

• Family Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.