Individual provider Active NPI

John W. Walsh, M.D.

  • Cardiovascular Disease Physician
  • St Petersburg, FL
National Provider Identifier
1467414383
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME45984 Issued in FL
Practice address
560 Jackson St N
Suite 100
St Petersburg, FL 33705-1449
Phone
(727) 329-1600
Fax
(727) 329-1694
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME45984 FL Primary

Addresses

Primary practice location

560 Jackson St N
Suite 100
St Petersburg, FL 33705-1449

Mailing address

10058 S Yacht Club Dr
Treasure Island, FL 33706-3102
Phone (727) 360-9581

Other practice location 1

6006 49th St N Ste 200
St Petersburg, FL 33709-2149
Phone (727) 490-2100

Other identifiers 1

IdentifierTypeStateIssuer
63295300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOHN.WALSH@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041214000662 FL Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6406813161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as individual
Quality
87.95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Interpreters Inc CurrentSince Oct 19, 2016 Accepting new patients

Locations

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: john.walsh@hca4.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1467414383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10058 S YACHT CLUB DR",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337063102",
            "telephone_number": "727-360-9581",
            "fax_number": "844-305-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N",
            "address_2": "SUITE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-329-1600",
            "fax_number": "727-329-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6006 49th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092149",
            "country_code": "US",
            "telephone_number": "727-490-2100",
            "fax_number": "844-305-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-01-04",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME45984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63295300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOHN.WALSH@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6006 49th St N Ste 200",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337092149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.