NPIMap

Individual provider Active NPI

Carrie Dianne Walsh, MD

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1730716721
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME172309 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-6910
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1015215 MA
Emergency Medicine Physician 207P00000X ME172309 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

5 Emerson PL
Boston, MA 02114-2240
Phone (917) 940-4031

Other practice location 1

1 Hospital Rd
Oak Bluffs, MA 02557-1406
Phone (508) 693-0410

Other practice location 2

75 Francis St
Boston, MA 02115-6110
Phone (617) 724-4068

Other practice location 3

55 Fruit St # 2622
Boston, MA 02114-2621
Phone (617) 724-4068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240206002052 MA Practitioner - Emergency Medicine 8729421847 Reassigns benefits to 6 organizations
I20250610002814 FL Practitioner - Emergency Medicine 8729421847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 1759432362, 132 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-7110

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Emergency Medicine CurrentSince Jan 24, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Dec 25, 2023 Accepting new patients
Martha's Vineyard Hospital, Inc. Emergency Medicine Current Accepting new patients
Public Health Trust of Miami Dade County Florida Emergency Medicine CurrentSince Jul 14, 2025 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Emergency Medicine CurrentSince Mar 19, 2024 Accepting new patients
Brigham & Womens Physicians Organization Inc Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Dec 25, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
The General Hospital Corporation CurrentSince Jan 24, 2024 Accepting new patients

Locations

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

75 Francis St
Boston, MA 02115

55 Fruit St
#2622
Boston, MA 02114
Phone (617) 724-2100

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: walsh.carrie.mgh@direct.partners.masshiway.net

Organizations & group practices 10

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1730716721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EMERSON PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142240",
            "telephone_number": "917-940-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Bluffs",
            "state": "MA",
            "postal_code": "025571406",
            "country_code": "US",
            "telephone_number": "508-693-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Francis St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156110",
            "country_code": "US",
            "telephone_number": "617-724-4068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St # 2622",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-724-4068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CARRIE",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "1015215",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME172309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.