NPIMap

Individual provider Active NPI

Edward Stephen Walker, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1619073574
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME40422 Issued in FL
Practice address
2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512
Phone
(954) 772-9822
Fax
(954) 772-9697
NPI assigned
Sep 16, 2006
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME40422 FL Primary

Addresses

Primary practice location

2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512

Mailing address

2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512
Phone (954) 772-9822

Other identifiers 1

IdentifierTypeStateIssuer
049482800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051015000041 FL Practitioner - Internal MedicinePractitioner - Geriatric PsychiatryPractitioner - Geriatric Medicine 5496771859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
University of South Florida College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 NE 48TH Court
Suite 1
Fort Lauderdale, FL 33308-4512

2001 NE 48TH CT
Suite 1
Fort Lauderdale, FL 33308-4512

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward S Walker MD PA Geriatric Medicine CurrentSince Jul 13, 1982 Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

2001 NE 48th Ct
Ste 1
Ft Lauderdale, FL 33308
Phone (954) 772-9822

Organizations & group practices 2

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1619073574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT",
            "address_2": "SUITE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-772-9822",
            "fax_number": "954-772-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 NE 48TH CT",
            "address_2": "SUITE 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084512",
            "telephone_number": "954-772-9822",
            "fax_number": "954-772-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "EDWARD",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME40422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049482800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.