Organization Active NPI

Lake County Walker Medical

  • General Practice Physician
  • Gary, IN
National Provider Identifier
1427389287
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LAKE COUNTY WALKER MEDICAL
Practice address
426 S Lake St
Gary, IN 46403-2405
Phone
(219) 939-6070
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Roland Hayes Walker, MDNPI 1891875647
Title
Ceo
Phone
(219) 939-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

426 S Lake St
Gary, IN 46403-2405

Mailing address

426 S Lake St
Gary, IN 46403-2405
Phone (219) 939-6070

Other practice location 1

601 W Kieffer Rd
Michigan City, IN 46360-9599
Phone (219) 326-7337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721000484 IN Part B Supplier - Clinic/Group Practice 8820504590 Receives reassigned benefits from 1 practitioner
Practice locations: Michigan City, IN; Gary, IN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1427389287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032405",
            "telephone_number": "219-939-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032405",
            "telephone_number": "219-939-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Kieffer Rd",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609599",
            "country_code": "US",
            "telephone_number": "219-326-7337",
            "fax_number": "219-939-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE COUNTY WALKER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-939-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.