Lara M Walsh, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

016464 Issued in ME

Practice address

149 Main St
Winthrop Pediatrics & Adolescent Medindine, Ste 1a
Winthrop, ME 04364-1486

Phone

(207) 377-2114

Fax

(207) 377-6112

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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

Merit-based Incentive Payment System (MIPS)

Final score

86.22 of 100Reported as group

Quality

75.39

Promoting interoperability

84

Improvement activities

40

Cost

75.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: larawalsh@mgh.allscriptsdirect.net

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.

• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment NPD
• Mainegeneral Medical Center

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1477344976
  NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1740256247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "address_2": "WINTHROP PEDIATRICS & ADOLESCENT MEDICINE, STE 1A",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043641486",
            "telephone_number": "207-377-2114",
            "fax_number": "207-377-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MAIN ST",
            "address_2": "WINTHROP PEDIATRICS & ADOLESCENT MEDINDINE, STE 1A",
            "city": "WINTHROP",
            "state": "ME",
            "postal_code": "043641486",
            "telephone_number": "207-377-2114",
            "fax_number": "207-377-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LARA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "016464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431793499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Town of Winthrop
• Tranquility Group Inc
• Kaitlyn Marie Turmelle, DC
• Shannon Marie Tyler
• Walgreen Eastern Co Inc
• Westwind House
• Winthrop Manor Long Term Care & Rehab Center, Inc.
• Winthrop Public Schools Aos 97

• Pediatrics Physician in Winthrop, ME
• Providers in Winthrop, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.