Individual provider Active NPI

William A Walker, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
National Provider Identifier
1770551368
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
14057 Issued in TN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3002187MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000130 TN Practitioner - General Surgery 7214831569 Reassigns benefits to 2 organizations

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
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

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 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14057TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revitalist CurrentSince Jul 21, 2021 Accepting new patients
Knoxville Hma Physician Management, LLC CurrentSince Oct 15, 2012 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

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.