Individual provider Active NPI

Michelle Patricia Walker, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1780116517
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD473568 Issued in PA
Practice address
3400 Civic Center Blvd.
West Pavilion 4TH FL Suite 4-900 W
Philadelphia, PA 19104-5134
Phone
(215) 662-2300
Fax
(215) 614-0418
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD473568 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd.
West Pavilion 4TH FL Suite 4-900 W
Philadelphia, PA 19104-5134

Mailing address

3400 Civic Center Blvd.
West Pavilion 4TH FL Suite 4-900 W
Philadelphia, PA 19104-5134
Phone (215) 662-2300

Other practice location 1

501 S 54th St
Philadelphia, PA 19143-1900
Phone (215) 662-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210720001857 PA Practitioner - Internal MedicinePractitioner - Endocrinology 0648673244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians
Trustees of the University of PennsylvaniaGroup PAC ID 2062326507, 150 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-2300

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-4000

3701 Market St
Philadelphia, PA 19104-5502
Phone (215) 662-2250

3737 Market St
FL 3
Philadelphia, PA 19104-5545
Phone (215) 662-9905

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD473568PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Internal Medicine Current Accepting new patients
Trustees of the University of Pennsylvania Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2021 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
University of Penn-Medical Group Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

3701 Market St
Fl 6
Philadelphia, PA 19104
Phone (215) 662-2250

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

3400 Civic Center Blvd
#4
Philadelphia, PA 19104
Phone (215) 614-1618

3737 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-2775

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3701 Market St
Ste 640
Philadelphia, PA 19104
Phone (215) 662-2250

Organizations & group practices 6

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 4

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1780116517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD.",
            "address_2": "WEST PAVILION 4TH FL SUITE 4-900 W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045134",
            "telephone_number": "215-662-2300",
            "fax_number": "215-614-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD.",
            "address_2": "WEST PAVILION 4TH FL SUITE 4-900 W",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045134",
            "telephone_number": "215-662-2300",
            "fax_number": "215-614-0418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S 54th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "215-662-2300",
            "fax_number": "215-614-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD473568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.