Individual provider Active NPI

Kamilah Walters

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1639707615
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.147042 Issued in OH
Practice address
2323 W 5TH Ave Ste 225
Columbus, OH 43204-4899
Phone
(614) 224-6420
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.147042 OH Primary

Addresses

Primary practice location

2323 W 5TH Ave Ste 225
Columbus, OH 43204-4899

Mailing address

2323 W 5TH Ave Ste 225
Columbus, OH 43204-4899
Phone (614) 224-6420

Other practice location 1

376 W. 10th Ave
774 Prior Hall
Columbus, OH 43210
Phone (614) 293-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231006001078 OH Practitioner - Emergency Medicine 9234550336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services Inc.Group PAC ID 5698687838, 46 clinicians

Practice addresses (Care Compare)

120 S Green St
Columbus, OH 43222-1661
Phone (614) 234-5212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.44 of 100Reported as group
Quality
88.85
Improvement activities
40
Cost
86.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.147042OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services, Inc. Emergency Medicine CurrentSince Jul 22, 2023 Accepting new patients
Emergency Services, Inc. Emergency Medicine CurrentSince Jul 22, 2023 Accepting new patients

Locations

7911 Diley Rd
Canal Winchester, OH 43110
Phone (614) 838-7911

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

2323 W 5th St
Ste 225
Columbus, OH 43204
Phone (614) 224-6420

120 S Green St
Columbus, OH 43222
Phone (614) 225-9321

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

Interoperability endpoints

  • Direct secure messaging: kwalters2706501@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1639707615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE STE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE STE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 W. 10th Ave",
            "address_2": "774 Prior Hall",
            "address_purpose": "LOCATION",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "country_code": "US",
            "telephone_number": "614-293-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KAMILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.147042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.