Active NPI
Janelle Rengel Walhout, M.D.
- Family Medicine Physician
- New York, NY
National Provider Identifier
1730298472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 323990-01
- Practice address
- 600 5TH Ave.
6TH Floor
New York, NY 10020 - Phone
- (212) 332-3700
- Fax
- (646) 665-4096
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00026019 | WA | |
| Family Medicine Physician | 207Q00000X | 323990-01 | NY | Primary |
Addresses
Primary practice location
600 5TH Ave.
6TH Floor
New York, NY 10020
Mailing address
600 5TH Ave.
6TH Floor
New York, NY 10020
Phone (212) 332-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8866815 | Other | WA | HARBORVIEW MEDICARE |
| 8866523 | Other | WA | UWP MEDICARE |
| 8306946 | Medicaid | WA |
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 |
|---|---|---|---|
| 323990-01 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1730298472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 5TH AVE.",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10020",
"telephone_number": "212-332-3700",
"fax_number": "646-665-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 5TH AVE.",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10020",
"telephone_number": "212-332-3700",
"fax_number": "646-665-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALHOUT",
"first_name": "JANELLE",
"middle_name": "RENGEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00026019",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "323990-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARBORVIEW MEDICARE",
"identifier": "8866815",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UWP MEDICARE",
"identifier": "8866523",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8306946",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.