Individual provider Active NPI

Walt G Sargeant, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1720081433
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
235917 Issued in NY
Practice address
464 W 145TH St
New York, NY 10031-4701
Phone
(212) 926-5050
Fax
(212) 926-7778
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 235917 NY Primary

Addresses

Primary practice location

464 W 145TH St
New York, NY 10031-4701

Mailing address

464 W 145TH St
New York, NY 10031-4701
Phone (212) 926-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050701000854 NY Practitioner - General Practice 9638115371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper West Side Medical Associates PCGroup PAC ID 3971687187, 2 clinicians

Practice addresses (Care Compare)

464 W 145TH St
New York, NY 10031-4701
Phone (212) 926-5050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235917NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper West Side Medical Associates PC Internal Medicine CurrentSince Oct 24, 2007 Accepting new patients

Locations

464 W 145th St
New York, NY 10031
Phone (212) 650-4030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIDAA/Endpoint/CHIDAA
  • Direct secure messaging: walt.sargeant@uwsma.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1720081433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314701",
            "telephone_number": "212-926-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314701",
            "telephone_number": "212-926-5050",
            "fax_number": "212-926-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARGEANT",
        "first_name": "WALT",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "235917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.