NPIMap

Individual provider Active NPI

Jillian Patricia Walsh, MD.

  • Vascular Surgery Physician
  • Pennington, NJ
National Provider Identifier
1508352048
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA10923300 Issued in NJ
Practice address
2 Capital Way Ste 356
Pennington, NJ 08534-2521
Phone
(609) 537-6000
NPI assigned
Jul 9, 2018
Reactivated
Mar 20, 2019
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 25MA10923300 NJ Primary

Addresses

Primary practice location

2 Capital Way Ste 356
Pennington, NJ 08534-2521

Mailing address

Brigham & Women's Hospital, Vascular and Endovascular S
75 Francis St.
Boston, MA 02115
Phone (857) 307-1920

Other practice location 1

Brigham & Women's Hospital, Vascular and Endovascular S
75 Francis St
Boston, MA 02115
Phone (857) 307-1920

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jillian.walsh.1@12833.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201016001213 NJ Practitioner - Vascular Surgery 9537589346 Reassigns benefits to 1 organization
I20210105000308 PA Practitioner - Vascular Surgery 9537589346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Dalhousie University, Faculty of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians
Clinical Specialty AssociatesGroup PAC ID 5799295853, 165 clinicians

Practice addresses (Care Compare)

2 Capital Way
Pennington, NJ 08534-2521
Phone (609) 537-6000

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

599 W State St
Doylestown, PA 18901-2567
Phone (215) 230-6982

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates Vascular Surgery Current Accepting new patients
Clinical Specialty Associates CurrentSince Oct 9, 2025 Accepting new patients
Clinical Specialty Associates Current Accepting new patients
Capital Health Medical Group CurrentSince Oct 15, 2020 Accepting new patients
HR Physician Services Vascular Surgery CurrentSince Oct 31, 2025 Accepting new patients
Via Affiliates CurrentSince Jan 1, 2021 Accepting new patients
HR Physician Services CurrentSince Oct 31, 2025 Accepting new patients
HR Physician Services Current Accepting new patients
Clinical Specialty Associates CurrentSince Oct 9, 2025 Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients
Via Affiliates Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 356
Pennington, NJ 08534
Phone (609) 537-6000

2 Capital Way
Ste 456
Pennington, NJ 08534
Phone (609) 537-7277

1700 Nottingham Way
Ste 108
Trenton, NJ 08619
Phone (609) 303-4870

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

599 W State St
Ste 302
Doylestown, PA 18901
Phone (215) 230-6982

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Ste 305
Meadowbrook, PA 19046
Phone (215) 344-9560

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jillian.walsh.1@12833.direct.athenahealth.com
  • Direct secure messaging: jillian.walsh@dhcp.eclinicaldirectplus.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1508352048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRIGHAM & WOMEN'S HOSPITAL, VASCULAR AND ENDOVASCULAR S",
            "address_2": "75 FRANCIS ST.",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "857-307-1920",
            "fax_number": "857-307-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 356",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "609-537-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brigham & Women's Hospital, Vascular and Endovascular S",
            "address_2": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02115",
            "country_code": "US",
            "telephone_number": "857-307-1920",
            "fax_number": "857-307-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JILLIAN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "deactivation_date": "2019-02-13",
        "reactivation_date": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA10923300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jillian.walsh.1@12833.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Capital Way Ste 356",
            "city": "Pennington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085342521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.