Individual provider Active NPI

Paul Walker, MD

  • Hospitalist Physician
  • Mesa, AZ
National Provider Identifier
1568984342
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
TP00513 Issued in AZ
Practice address
1400 S Dobson Road
Attn Amanda Gump/Hospitalist
Mesa, AZ 85202
Phone
(480) 543-2034
Fax
(480) 543-2647
NPI assigned
Jul 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 4301113301 MI
Hospitalist Physician 208M00000X TP00513 AZ Primary

Addresses

Primary practice location

1400 S Dobson Road
Attn Amanda Gump/Hospitalist
Mesa, AZ 85202

Mailing address

1900 N Higley Road
Attn Amanda Gump/Hospitalist
Gilbert, AZ 85234
Phone (480) 543-2034

Other practice location 1

650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 240-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200909003036 AZ Practitioner - Family PracticePractitioner - Hospitalist 9234468885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.7 of 100Reported as group
Quality
64.97
Promoting interoperability
98
Improvement activities
40
Cost
69.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301113301MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Jan 18, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Jan 18, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2020 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

Organizations & group practices 4

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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1568984342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N HIGLEY ROAD",
            "address_2": "ATTN AMANDA GUMP/HOSPITALIST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-543-2034",
            "fax_number": "480-543-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S DOBSON ROAD",
            "address_2": "ATTN AMANDA GUMP/HOSPITALIST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-543-2034",
            "fax_number": "480-543-2647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624222",
            "country_code": "US",
            "telephone_number": "734-240-4594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301113301",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "TP00513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.