Active NPI
David Lewis Walker, MD
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1619959152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00027763
- Practice address
- 1215 120TH Ave NE Ste 204
Bellevue, WA 98005-2138 - Phone
- (425) 283-4200
- Fax
- (425) 679-5679
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00027763 | WA | Primary |
Addresses
Primary practice location
1215 120TH Ave NE Ste 204
Bellevue, WA 98005-2138
Mailing address
1215 120TH Ave NE Ste 204
Bellevue, WA 98005-2138
Phone (425) 283-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119936 | Other | WA | LABOR & INDUSTRIES |
| 8122574 | Medicaid | WA | |
| 080124611 | Other | MEDICARE RAILROAD | |
| 1822WA | Other | WA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00027763 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Past | Accepting new patients | |
| Pmo Care, PLLC | Family Medicine | Past | Accepting new patients |
| New Options West, Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1619959152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 120TH AVE NE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052138",
"telephone_number": "425-283-4200",
"fax_number": "425-679-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 120TH AVE NE STE 204",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052138",
"telephone_number": "425-283-4200",
"fax_number": "425-679-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "DAVID",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00027763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "119936",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8122574",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080124611",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1822WA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.