Individual provider Active NPI

Michael C Walls, MD

  • Cardiovascular Disease Physician
  • Indianapolis, IN
National Provider Identifier
1497877526
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01069333A Issued in IN
Practice address
10590 N Meridian St
Indianapolis, IN 46290-1028
Phone
(317) 338-6666
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 01069333A IN Primary

Addresses

Primary practice location

10590 N Meridian St
Indianapolis, IN 46290-1028

Mailing address

10590 N Meridian St
Carmel, IN 46290-1028

Other identifiers 2

IdentifierTypeStateIssuer
000000710338OtherINANTHEM BCBS
201015070MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.walls.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110707000013 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 6406034834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
Saint Louis University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

110 E 13TH St
Rushville, IN 46173-2126
Phone (765) 932-7591

1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

1310 N Main St
Rushville, IN 46173-1116
Phone (765) 932-7536

13500 N Meridian St
Carmel, IN 46032-1456
Phone (317) 582-7000

13861 Olio Rd
Fishers, IN 46037-3487
Phone (317) 338-7136

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 224-1167

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

315 W Old Key Dr
Suite 170
Peru, IN 46970-9058
Phone (765) 327-2166

412 N Monroe St
St Vincent Williamsport
Williamsport, IN 47993-1049
Phone (765) 762-4056

616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2104

8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760

8333 Naab Rd
Suite 420
Indianapolis, IN 46260-1992
Phone (317) 338-6666

8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7510

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

9166 E US Hwy 36
Avon, IN 46123-7772
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jun 7, 2014 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 25, 2011 Accepting new patients
Rush Memorial Hospital CurrentSince Jul 15, 2014 Accepting new patients
New Castle Clinic Inc CurrentSince Apr 27, 2014 Accepting new patients
St. Vincent Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Jun 7, 2014 Accepting new patients
New Castle Clinic Inc Cardiovascular Disease CurrentSince Apr 27, 2014 Accepting new patients
Rush Memorial Hospital Cardiovascular Disease CurrentSince Jul 15, 2014 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 25, 2011 Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations

10590 N Meridian St
Carmel, IN 46290
Phone (317) 338-6666

13914 Southeastern Pkwy
Ste 304
Fishers, IN 46037
Phone (317) 415-9009

8333 Naab Rd
Ste 420
Indianapolis, IN 46260
Phone (317) 338-6666

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8840 Commerce Park Pl
Ste E
Indianapolis, IN 46268
Phone (317) 583-4420

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

8333 Naab Rd
Ste 400
Indianapolis, IN 46260
Phone (317) 338-5066

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1000 N 16th St
Ste 240
New Castle, IN 47362
Phone (765) 521-1461

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

110 E 13th St
Rushville, IN 46173
Phone (765) 932-7063

225 S Pine St
Ste 310
Seymour, IN 47274
Phone (812) 522-2177

225 S Pine St
Ste 200
Seymour, IN 47274
Phone (812) 524-3330

Interoperability endpoints

  • Direct secure messaging: michael.walls.1@7598.direct.athenahealth.com

Organizations & group practices 12

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 6

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1497877526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901028",
            "telephone_number": "317-338-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01069333A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000710338",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201015070",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.walls.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "10590 N Meridian St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462901028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.