Individual provider Active NPI

William Joseph Walsh III, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Ogden, UT
National Provider Identifier
1730374604
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
6054241-1205 Issued in UT
Practice address
2740 Pennsylvania Ave
Ogden, UT 84401-3320
Phone
(801) 675-5624
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 5054241-1205 UT
Addiction Medicine (Internal Medicine) Physician 207RA0401X 6054241-1205 UT Primary

Addresses

Primary practice location

2740 Pennsylvania Ave
Ogden, UT 84401-3320

Mailing address

2740 Pennsylvania Ave
Ogden, UT 84401-3320
Phone (385) 280-6337

Other identifiers 1

IdentifierTypeStateIssuer
6054241-1205OtherUTUTAH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20081118000373 UT Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8527127141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exodus Healthcare Network PLLCGroup PAC ID 1456265057, 25 clinicians

Practice addresses (Care Compare)

3665 S 8400
Magna, UT 84044-4907

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6054241-1205UTMDAddiction Medicine (Internal Medicine) Physician
5054241-1205UTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes RN LLC Clinic/Center CurrentSince Jul 1, 2024 Accepting new patients
Alpine Health and Rehabilitation Center LC Clinic/Center PastSince Feb 10, 2019 Accepting new patients

Locations

2333 W North Temple
Slc, UT 84116
Phone (801) 539-8852

Interoperability endpoints

  • Direct secure messaging: william.walsh.1@11893.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730374604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 PENNSYLVANIA AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013320",
            "telephone_number": "385-280-6337",
            "fax_number": "801-675-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 PENNSYLVANIA AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013320",
            "telephone_number": "801-675-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "5054241-1205",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "UT",
            "license": "6054241-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH LICENSE",
            "identifier": "6054241-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.