Individual provider Active NPI

Daniel William Walsh, M.D.

  • Diagnostic Radiology Physician
  • Knoxville, TN
National Provider Identifier
1649277070
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35956 Issued in TN
Practice address
4820 Old Kingston Pike
Knoxville, TN 37919-6424
Phone
(865) 558-9862
Fax
(865) 584-3478
NPI assigned
Jun 30, 2005
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35956 TN Primary

Addresses

Primary practice location

4820 Old Kingston Pike
Knoxville, TN 37919-6424

Mailing address

4820 Old Kingston Pike
Knoxville, TN 37919-6424
Phone (865) 558-9862

Other identifiers 2

IdentifierTypeStateIssuer
3873999MedicaidTN
3873990MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040804001245 TN Practitioner - Diagnostic Radiology 6709857584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Abercrombie Radiological Consultants IncGroup PAC ID 3072411834, 51 clinicians

Practice addresses (Care Compare)

103 Midlake Dr Level
Knoxville, TN 37918-3039
Phone (865) 687-7704

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

4820 Old Kingston Pike
Knoxville, TN 37919-6424
Phone (865) 558-9862

641 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 428-0583

675 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 584-4747

721 Hwy 321 N
Suite C
Lenoir City, TN 37771-5003
Phone (865) 986-3283

7211 Wellington Dr
Knoxville, TN 37919-5968

7545 Barnett Way
Powell, TN 37849-3565
Phone (865) 824-1524

9333 Park W Blvd
Knoxville, TN 37923-4305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Quality
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35956TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Aug 16, 2011 Accepting new patients
Abercrombie Radiological Consultants Inc Diagnostic Radiology CurrentSince Jul 1, 2002 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 16, 2011 Accepting new patients
Knoxville Radiological Group Associated Diagnostic Radiology PastSince Jun 30, 2001 Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients
Tennessee Cancer Specialists PLLC Past Accepting new patients
Tennessee Cancer Specialists PLLC Past Accepting new patients

Locations

1112 E Weisgarber Rd
Ste 102
Knoxville, TN 37909
Phone (865) 588-1397

103 Midlake Dr
Lowr
Knoxville, TN 37918
Phone (865) 470-2696

9333 Park West Blvd
Ste 210
Knoxville, TN 37923
Phone (865) 531-4648

1112 E Weisgarber Rd
Knoxville, TN 37909
Phone (865) 588-1397

1112 E Weisgarber Rd
Ste 201
Knoxville, TN 37909

4820 Old Kingston Pike
Knoxville, TN 37919
Phone (865) 205-2770

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

103 Midlake Dr
Knoxville, TN 37918
Phone (865) 687-1973

1225 E Weisgarber Rd
Ste N200
Knoxville, TN 37909
Phone 86558447477803

7211 Wellington Dr
Ste 201
Knoxville, TN 37919
Phone (865) 584-5762

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 7

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 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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1649277070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 OLD KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196424",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 OLD KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196424",
            "telephone_number": "865-558-9862",
            "fax_number": "865-584-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "35956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873999",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3873990",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.