Organization Active NPI

Walker Medical LLC

  • General Practice Physician
  • Gary, IN
National Provider Identifier
1700064201
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WALKER MEDICAL LLC
Practice address
426 S Lake St
Gary, IN 46403-2405
Phone
(219) 939-8970
Fax
(219) 939-6090
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Roland H WalkerNPI 1891875647
Title
Owner
Phone
(219) 326-7337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

426 S Lake St
Gary, IN 46403-2405

Mailing address

PO Box 2613
Gary, IN 46403-0613
Phone (312) 560-1906

Other practice location 1

601 W Kieffer Rd
Gary, IN 46403
Phone (219) 326-7337

Other identifiers 1

IdentifierTypeStateIssuer
200811740MedicaidIN

National Provider Directory

National Provider Directory

Locations

426 S Lake St
Gary, IN 46403
Phone (219) 939-6070

800 Lincolnway
Ste 204
La Porte, IN 46350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1700064201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2613",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464030613",
            "telephone_number": "312-560-1906",
            "fax_number": "219-939-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032405",
            "telephone_number": "219-939-8970",
            "fax_number": "219-939-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Kieffer Rd",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "46403",
            "country_code": "US",
            "telephone_number": "219-326-7337",
            "fax_number": "219-939-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WALKER MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-326-7337"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200811740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.