Individual provider Active NPI

Teresa M. Walsh, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1508090549
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-20573 Issued in HI
Practice address
3600 Aolele St
PO Box #29731
Honolulu, HI 96820-3679
Phone
(808) 386-5180
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.49206 AL
Obstetrics & Gynecology Physician 207V00000X 219639 AK
Obstetrics & Gynecology Physician 207V00000X 74463 AZ
Obstetrics & Gynecology Physician 207V00000X P6107 TX
Obstetrics & Gynecology Physician 207V00000X MD-20573 HI Primary

Addresses

Primary practice location

3600 Aolele St
PO Box #29731
Honolulu, HI 96820-3679

Mailing address

3600 Aolele St
Honolulu, HI 96820-3679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, HI, IA, CA, MT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20131023001192 TX Practitioner - Obstetrics/Gynecology 5597990861 Reassigns benefits to 3 organizations
I20200102000541 HI Practitioner - Obstetrics/Gynecology 5597990861 Reassigns benefits to 1 organization
I20240815003719 IA Practitioner - Obstetrics/Gynecology 5597990861 Reassigns benefits to 1 organization
I20240829003284 CA Practitioner - Obstetrics/Gynecology 5597990861 Reassigns benefits to 2 organizations
I20260603003730 MT Practitioner - Obstetrics/Gynecology 5597990861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219639AKMDObstetrics & Gynecology Physician
MD.49206ALMDObstetrics & Gynecology Physician
74463AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Dec 3, 2013 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Oct 8, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Aug 22, 2024 Accepting new patients
Salud Para la Gente CurrentSince Apr 1, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
DRH Medical Group CurrentSince Jul 1, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 3, 2015 Accepting new patients
Michael C Hoaglin, MD, Inc CurrentSince Jul 1, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Obstetrics & Gynecology CurrentSince Aug 3, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Aug 14, 2013 Accepting new patients
Salud Para la Gente CurrentSince Apr 1, 2025 Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

400 30th St
Ste 407
Oakland, CA 94609
Phone (415) 735-6453

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

146 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 235-5050

1449 S Michigan Ave
Chicago, IL 60605
Phone (312) 292-9818

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: teresa.walsh.1@26576.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1508090549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 AOLELE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968203679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 AOLELE ST",
            "address_2": "PO BOX #29731",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968203679",
            "telephone_number": "808-386-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "TERESA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.49206",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "219639",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "74463",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P6107",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-20573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.