Individual provider Active NPI

Robert B Walker, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Barboursville, WV
National Provider Identifier
1457315814
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
10652 Issued in WV
Practice address
663 Central Ave
Barboursville, WV 25504-1313
Phone
(304) 691-6878
Fax
(304) 691-5743
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10652 WV
Geriatric Medicine (Family Medicine) Physician 207QG0300X 10652 WV Primary

Addresses

Primary practice location

663 Central Ave
Barboursville, WV 25504-1313

Mailing address

659 Central Ave
Barboursville, WV 25504-1313
Phone (304) 691-6878

Other identifiers 6

IdentifierTypeStateIssuer
000194939OtherWVBC/BS
0056287000MedicaidWV
080064997OtherWVRR MEDICARE
080057239OtherWVRR MEDICARE
0439770MedicaidOH
64694078MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.walker@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20051227000294 WV Practitioner - Family Practice 6608898150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lincoln County Primary Care Center IncGroup PAC ID 6204821879, shared by 25 NPIs, 40 clinicians

Practice addresses (Care Compare)

1563 Sand Plant Rd
South Charleston, WV 25309-6120
Phone (304) 756-1500

659 Central Ave
Barboursville, WV 25504-1313
Phone (304) 736-5247

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10652WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Primary Care Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Lincoln County Primary Care Center, Inc. CurrentSince Jul 1, 1995 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Aug 15, 2017 Accepting new patients
Lincoln County Primary Care Center, Inc CurrentSince Jul 1, 1995 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 15, 2017 Accepting new patients
Lincoln County Primary Care Center, Inc Past Accepting new patients

Locations

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

7400 Lynn Ave
Hamlin, WV 25523

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1600 Medical Center Dr
Huntington, WV 25701
Phone (304) 691-1100

1563 Sand Plant Rd
South Charleston, WV 25309
Phone (304) 756-1500

Interoperability endpoints

  • Direct secure messaging: robert.walker.1@6401.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Virginia University Hospitals IncMorgantown, WV, CCN 519801 Hospital Corporate Director Aug 20, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1457315814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041313",
            "telephone_number": "304-691-6878",
            "fax_number": "304-691-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 CENTRAL AVE",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041313",
            "telephone_number": "304-691-6878",
            "fax_number": "304-691-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "10652",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "10652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000194939",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056287000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080064997",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080057239",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0439770",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64694078",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.walker@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "659 Central Ave",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255041313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.