Active NPI
William A Walker, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 14057
- Practice address
- 10810 Parkside Dr Ste 208
Knoxville, TN 37934-1981 - Phone
- (865) 647-3350
- Fax
- (865) 647-3359
- NPI assigned
- Mar 9, 2006
- Last updated
- Sep 10, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 14057 | TN | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 14057 | TN | Primary |
Addresses
Primary practice location
10810 Parkside Dr Ste 208
Knoxville, TN 37934-1981
Mailing address
10810 Parkside Dr Ste 208
Knoxville, TN 37934-1981
Phone (865) 647-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002187 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | william.walker.1@4694.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Florida College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10810 Parkside Dr
Knoxville, TN 37934-1981
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011
7557 A Dannaher Dr
Suite G15
Powell, TN 37849-3558
Phone (865) 859-7377
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14057 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revitalist | Current | Accepting new patients | |
| Knoxville Hma Physician Management, LLC | Current | Accepting new patients | |
| Metro Knoxville Hma LLC | Past | Accepting new patients | |
| Baptist Hospital West, Inc. | Past | Accepting new patients |
Locations
2 Red Bush Ct
Johnson City, TN 37601
Phone (423) 283-4958
101 E Blount Ave
Ste 650
Knoxville, TN 37920
Phone (865) 632-5058
10608 Flickenger Ln
Knoxville, TN 37922
Phone (833) 917-3400
10810 Parkside Dr
Ste 208
Knoxville, TN 37934
Phone (865) 218-7499
10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660
Interoperability endpoints
- https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
- william.walker.1@4694.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Knoxville, TN
- NPI 1629356969
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1073168241
-
dba Baptist Hospital West
- General Acute Care Hospital
- Knoxville, TN
- NPI 1992778823
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1770551368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 208",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341981",
"telephone_number": "865-647-3350",
"fax_number": "865-647-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 PARKSIDE DR STE 208",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341981",
"telephone_number": "865-647-3350",
"fax_number": "865-647-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "14057",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "14057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002187",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "william.walker.1@4694.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "10810 Parkside Dr Ste 208",
"city": "Knoxville",
"state": "TN",
"country_code": "US",
"postal_code": "379341981",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.